| NPI | 1417128950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SUE HENLEYJOHNSON CEO 520-293-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-1285) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |