| NPI | 1205527579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY BIJENDE President 480-300-1698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |