| NPI | 1760830533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JOHNSON President 480-779-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH4858) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH4858) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |