| NPI | 1407186737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUL WASSWA Owner/Administrator 623-583-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3475) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |