| NPI | 1518417583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE WALKER President 520-374-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: AZ BH 5008) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |