| NPI | 1609423417 |
|---|---|
| Doing Business As | BASAMI HOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | JOYCE ODONGO Administrator 602-903-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |