| NPI | 1871468942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRIDGERS Owner 602-422-2426 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |