| NPI | 1356358519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY COPAS Executive Director 602-335-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-312) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-06-19 |