| NPI | 1548544463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HOWARD Director 602-487-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ 322d00000x) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |