| NPI | 1487311379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE C WHYTE CEO 623-451-9660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2021-11-26 |