| NPI | 1427614429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNSO FEYL OGUNLA Director 602-384-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |