| NPI | 1528412442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIYANA BRUTUS Owner 602-235-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |