| NPI | 1629699152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO LLOYD MORNING Owner 602-789-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |