| NPI | 1689834103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA TAHSE PALACIOS President 602-206-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3062) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |