| NPI | 1174457048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATAYSHA KIELYNN TYLER Managing Member 602-461-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-09 |