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 |