| NPI | 1477317766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYLAH S MUHAMMAD Owner/Behavioral Health Technician 602-579-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |