| NPI | 1396439667 |
|---|---|
| Former Legal Business Name | MWANGAZA RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | JONAH KIBITOK MAIYO Owner/CEO/Pro. Dir 520-207-9283 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |