| NPI | 1548133275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL KEBEDE Manager 602-579-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |