| NPI | 1467654814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BANKEN Executive Director 602-335-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: AZ BH-1487) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-312) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |