| NPI | 1316218753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM LATEEF Owner 602-403-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ 3990) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |