| NPI | 1982822656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFFIE S. TUNIS Tignex Program Director 480-217-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH-2765) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |