NPI | 1336881911 |
---|---|
Doing Business As | CACTUS SAGE 3 |
Entity Type | Organization |
Authorized Contact | GERALDINE MUTWOL CEO 623-225-1240 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2022-04-12 |
Last Update Date | 2022-04-12 |