| NPI | 1487431805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBUKUN ODUTOLA Dnp CEO 602-502-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-12-20 |