| NPI | 1588301014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIM SAITI Owner 602-320-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-06-01 |