| NPI | 1396862165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA MONIQUE WILLIAMS Chief Administrative Officer 520-723-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-2854) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2008-07-18 |