| NPI | 1013559376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A OGHENEJABOR CEO/Administrator 623-552-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |