NPI | 1376136473 |
---|---|
Entity Type | Organization |
Authorized Contact | HASSAN MOHAMED ABDELRAHMAN CEO 480-765-3018 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-02-19 |
Last Update Date | 2021-02-19 |