| NPI | 1548956808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGGORY A SOBEK Manager 480-239-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-13 |