| NPI | 1316140007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ABDALLAH Executive Director 602-460-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ 2899) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |