| NPI | 1780853051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL HUNINGER Executive Director 928-257-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ 3048) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-05-16 |