| NPI | 1942668090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHAR MOULAIY Administrator 602-736-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: AZ BH4744) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |