| NPI | 1578978409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ADE EPIE Owner 602-481-9789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3103) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |