| NPI | 1184911976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ODONGO Manager/Administrator 647-836-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3862) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |