| NPI | 1467106609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL NDAYIRAGIJE Administrator 480-278-2047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |