| NPI | 1881838399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE B PERRY Administrator 520-494-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH3220) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-05-01 |