| NPI | 1831506328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN WRIGHT Executive Director 520-431-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH4439) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |