| NPI | 1821298894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER L KNOX CEO/Administrator 602-510-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH2933) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |