| NPI | 1386065159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT P VOLKMER Chief Executive Officer 520-423-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH4335) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |