| NPI | 1538905997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UKO BENJAMIN UDOFIA Owner 480-330-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-24 |