| NPI | 1407502727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYVON G KANYUA House Manager 480-324-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-03-24 |