| NPI | 1376937391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI OMODARA Owner 623-521-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |