| NPI | 1790166072 |
|---|---|
| Doing Business As | HOME AWAY FROM HOME BEHAVIORAL HEALTH RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | TANYA MARGUERITE AYIYI CEO 602-559-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH4584) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |