| NPI | 1184087223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ADE EPIE Owner 602-481-9789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH4831) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |