NPI | 1255999819 |
---|---|
Entity Type | Organization |
Authorized Contact | MBONG JERRY NGWESE Program Director 480-233-9241 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2019-05-30 |
Last Update Date | 2019-05-30 |