| NPI | 1568132959 |
|---|---|
| Doing Business As | CACTUS SAGE 2 |
| Entity Type | Organization |
| Authorized Contact | ADAM MUTWOL Admin 623-225-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |