| NPI | 1649452251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHA BERNICE SPELLMAN Faculty Administrator 623-533-1689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH2872) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |