| NPI | 1811657091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROBERT FELS Owner 480-366-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |