| NPI | 1427537091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS KIMANI MWANGI Administrator 858-386-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH5437) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2020-07-02 |