| NPI | 1306437553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE L UWIMANA Pmhnp Bc 602-399-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2021-01-31 |