NPI | 1518055953 |
---|---|
Other Name | AIC SUNRISE |
Entity Type | Organization |
Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH1012) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-10-09 |