| NPI | 1386969947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA MELISSA NORIEGA Administrator 602-643-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AZ ALH6076) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |