| NPI | 1700961224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T BRADLEY CEO 520-750-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH3023) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-12-19 |