| NPI | 1396410460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH AYIYI Program Director 602-885-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |