| NPI | 1396158481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE GESSING Slp A 602-767-2875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ SLPA8835) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2022-08-26 |