NPI | 1649015843 |
---|---|
Entity Type | Organization |
Authorized Contact | DANTREEL PATE Owner 480-799-7927 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2024-06-28 |
Last Update Date | 2024-06-28 |