| NPI | 1568947364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS TORRES Partner 623-518-9040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |