| NPI | 1235957762 |
|---|---|
| Doing Business As | BLACK BERRY AT SARAGOSA |
| Entity Type | Organization |
| Authorized Contact | VANESSA NJOROGE Administrator 480-388-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2025-09-02 |