| NPI | 1538832852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEFERE REZENE CEO 623-742-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2021-08-03 |