| NPI | 1538681374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ASHIAGBOR Administrator/Owner 602-214-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: BH5210) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |