| NPI | 1649796939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS KIMANI MWANGI Owner 858-386-6705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH5145) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2020-07-02 |