NPI | 1255061032 |
---|---|
Doing Business As | MON AMI 2 GROUP HOME |
Entity Type | Organization |
Authorized Contact | SALIM OTIENO ODIERO CEO 602-677-6359 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2022-06-14 |
Last Update Date | 2022-06-14 |