| NPI | 1366180036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTIN NTEZEYOMBI CEO 480-845-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |