| NPI | 1447928189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI OMODARA Owner Member 623-521-5935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |