| NPI | 1407426273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NIBIZI CEO 623-440-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |