| NPI | 1013759810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENAIT FESSAHAYE GEBRU Managing Member 602-692-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-08-29 |