| NPI | 1427649631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY EVANS Member 480-656-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-01-30 |