| NPI | 1881725992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B GRANADO Executive Director 480-722-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3914) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-09-09 |