| NPI | 1407985617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY M SMITH Executive Director 928-783-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-505) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-05-30 |