| NPI | 1639565922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNA HENDERSHOTT Partner/Administrator/Manager 480-658-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |