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 |