| NPI | 1396914735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI MCKINNEY Director 623-474-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ BH-1914) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: AZ BH-1914) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-06-26 |