| NPI | 1083208441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADHI HERSI Owner 602-688-9942 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2025-03-11 |