| NPI | 1972499432 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID LEE WILSON CEO/Owner 602-587-4233 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 
| Enumeration Date | 2025-06-13 | 
| Last Update Date | 2025-06-13 |