| NPI | 1477910883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKUNLOLA O BETIKU Program Director 602-516-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4775) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |