| NPI | 1518680875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ASANTE Administrator 480-570-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2025-10-06 |