| NPI | 1396188702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B. GRANADO Executive Director 480-722-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-4208) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |