| NPI | 1114778099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARIA RAINEY Owner 623-336-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-04-04 |