NPI | 1316605595 |
---|---|
Doing Business As | JEHOVANIS,S GROUP HOME |
Entity Type | Organization |
Authorized Contact | YVONE BAHATI Owner 480-501-0957 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-12-04 |
Last Update Date | 2021-12-04 |