| NPI | 1356187942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UKO UDOFIA Owner 480-330-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-24 |