| NPI | 1336305176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH COCOROS Associate Director 602-256-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3061) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |