| NPI | 1417134933 |
|---|---|
| Other Name | ANGEL HOUSE |
| Entity Type | Organization |
| Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-2914) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2020-10-09 |