| NPI | 1508261009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATINA COLLINS Owner 602-616-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |