NPI | 1609633080 |
---|---|
Entity Type | Organization |
Authorized Contact | IBUKUN ODUTOLA CEO 602-502-4872 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-12-20 |