| NPI | 1508622960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGHANN JOHNSON Owner 928-250-9436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |