| NPI | 1770477911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATESHA EDMON CEO 623-600-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |