| NPI | 1063360436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIRUK FEYISSA SADESSA Adminstrator 623-419-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-03-20 |