| NPI | 1548319890 |
|---|---|
| Other Name | KACHINA HOUSE |
| Entity Type | Organization |
| Authorized Contact | RICHARD ECK CEO 520-514-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-1447) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |