| NPI | 1154055978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN ALI ALANKOSHI Owner 480-652-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2024-08-02 |