| NPI | 1417397928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY MONZON Hr 602-285-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: NM 3454) |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care (Licence: NM 3454) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2014-07-22 |