| NPI | 1477060341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REEM NAEUM Owner 623-565-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |