NPI | 1992120885 |
---|---|
Entity Type | Organization |
Authorized Contact | DORI SUZAN TAMAGNI Owner/Manager 520-400-9444 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-4395) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2014-02-28 |