NPI | 1972849149 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GURR Program Director 928-567-1322 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ LPC12646) |
Enumeration Date | 2012-12-17 |
Last Update Date | 2012-12-17 |