| NPI | 1598272825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT AGBOOLA Member 480-589-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2025-02-25 |