| NPI | 1508492703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY TALABI Owner/Administrator 480-603-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |