| NPI | 1487108536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLASAYO IYABODE OLADOKUN Owner 520-431-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2021-07-03 |