| NPI | 1649965195 |
|---|---|
| Doing Business As | EAGLESNESTTHUNDERBIRD |
| Entity Type | Organization |
| Authorized Contact | BARBARA L COBBS-MCCLURE Assistant Director 602-570-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-05-23 |