| NPI | 1013695907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN NDUNYU Chief Administrator 480-525-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |