| NPI | 1356853915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MUNYAO KIVILA Administrator/Owner 480-634-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |