| NPI | 1326469719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY MILLER Chief Exececutive Officer 623-792-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH4352) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |