| NPI | 1306001052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BRENT Assistant Director 602-542-6857 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |