| NPI | 1427857739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS BEZAAJUH Owner 602-601-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |