| NPI | 1558832683 |
|---|---|
| Doing Business As | LIBERTY HOME LLC |
| Entity Type | Organization |
| Authorized Contact | MOHAMED SESAY Program Director 602-423-6758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |