| NPI | 1124613211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL NDAYIRAGIJE Administrator 480-278-2047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-25 |