| NPI | 1629311634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WHITEHEAD Executive Director 520-206-8659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ 4170) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |