| NPI | 1194450189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENATBRAGEN NKWANYOU ARREY Administrator 480-707-1824 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-08-10 |