| NPI | 1487923439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE WANJA KUNGU House Mgr. Bhpp 480-600-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3950) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |