| NPI | 1821291345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CAROL SOYARS Director 602-216-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-07-28 |