| NPI | 1306521133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMWEL MOYANA Founder 623-221-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-26 |