| NPI | 1033645668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDALLA ELKHALIFA CEO/Owner 623-565-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5112) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2025-06-03 |