NPI | 1063126993 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL NDAYIRAGIJE Owner 480-278-2047 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-01-05 |
Last Update Date | 2023-01-05 |