| NPI | 1073175048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREEEM KASIB ABDULLAH Administrator/Owner 480-577-7236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2021-04-14 |