| NPI | 1528666039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY TALABI Owner 480-603-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |