| NPI | 1447658943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE AGBOOLA Administrator 480-589-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AZ BH4520) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2024-03-05 |