| NPI | 1205561586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E VALENZUELA Owner 602-561-6821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-21 |