NPI | 1356715593 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUGBENGA ADEDOLAPO TEPEDE CEO/Program Director 623-363-6408 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4710) |
Enumeration Date | 2015-11-27 |
Last Update Date | 2015-11-27 |