| NPI | 1407957467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON E. MCDANIEL Senior Vice President 602-346-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH2681) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH2784) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH1340) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |