| NPI | 1548919582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN AWOSIKA Administrator 480-494-1419 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |