| NPI | 1407333958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA BELTRAN Owner 602-793-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH5423) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-01-22 |