| NPI | 1336013861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED A AHMED Adminstration 602-386-6435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |