| NPI | 1326432741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MUNYAO KIVILA Administrator 480-634-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH 4431) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH 4431) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |