| NPI | 1972910248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ABDALLAH Sole Mbr 602-460-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |