| NPI | 1366148421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABESTINE ONYEPUNUKA Assistant Administrator 623-512-1675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |