| NPI | 1437891629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERRA NATE' ABDULLAH Owner 480-577-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |