| NPI | 1538523246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NJUGUNA Administrator 480-406-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ LP048680) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |