| NPI | 1497032668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURAH MATTOX SHARPE Executive Director 623-308-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH3356) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |