| NPI | 1184371049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADRACK ADJUGAH Manager Manage/Administrator 602-559-6293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |