| NPI | 1548034226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON NORDEAN Owner 602-622-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |