| NPI | 1467666131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE'ANNA MARIE MCQUILLER Chief Administrator 602-304-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH 2693) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-01-04 |