| NPI | 1255170858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA NGANGA Operations Manager 623-203-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |