| NPI | 1538226485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CAROL JORDE Director 602-216-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ 3206000000X) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |