| NPI | 1649902834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH MUYA Manager 480-842-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |