| NPI | 1659719995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DEVON SIMS CEO 602-904-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH427-) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |