| NPI | 1619841566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGBEMOUDIA JAMES AYIYI CEO 602-341-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-11-10 |