| NPI | 1871113563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J. BEATY President/CEO 602-535-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |