| NPI | 1598302028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHAR MOULAIY Owner/Manager 602-736-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |