NPI | 1083364335 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE MBUGUA Administrator 480-955-9155 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2022-03-28 |
Last Update Date | 2022-03-28 |