| NPI | 1508488495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIDA MOHAMED Owner 480-200-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-14 |