| NPI | 1639596927 |
|---|---|
| Other Name | EAGLES NEST BOYS RESIDENTIAL AGENCY |
| Entity Type | Organization |
| Authorized Contact | TED D MCCLURE Executive Director 602-568-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: DC BH4442) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |