| NPI | 1508454620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSA SANGARIE Owner 480-338-9764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-12 |