| NPI | 1558128033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY PHILLIPS Owner 602-314-0276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |