| NPI | 1285459149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHOLLETA WANJIRU MENJA Administrator 480-232-8260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-11-16 |
| Last Update Date | 2024-11-16 |