| NPI | 1295809457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH COCOROS Associate Director 602-254-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-1125) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |