| NPI | 1881462489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN DIKE Program Manager 602-489-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |