| 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 |