| NPI | 1033904594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEYEMI OLUBAMBO Cno 480-493-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-06-02 |