| NPI | 1184385882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAWUTO S TOMEGAH Member 480-865-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |