| NPI | 1871467753 |
|---|---|
| Doing Business As | PONCA PINES |
| Entity Type | Organization |
| Authorized Contact | MARANDA FIGULI Credentialing Manager 480-987-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |