| NPI | 1417833005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENESHA L RAINWATER Executive Director 602-692-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |