| NPI | 1184012213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNSO FEYI OGUNLA Program Director 623-748-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4528) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |