| NPI | 1265949861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNSO FEYI OGUNLA Program Director 602-384-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5356) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |