| NPI | 1427644475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE AGBOOLA Administrator 480-589-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-03-05 |