| NPI | 1487118865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBOLA A ADARALEGBE Program Director 623-523-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2025-10-08 |