| NPI | 1255164463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISDEON AYIYI CEO 602-710-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-23 |