| NPI | 1679696009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARETT W LOGGINS Administrator 602-682-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-2729) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |