| NPI | 1053127845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMI TAYLOR Founder/CEO 623-287-9819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |