| NPI | 1467292086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA JANELLE LEE CEO 602-686-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |