| NPI | 1548910359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFEMI OMODARA Owner 623-521-5935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |