NPI | 1669358008 |
---|---|
Entity Type | Organization |
Authorized Contact | NOOR ABDIRAZAK CEO 602-838-0783 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-08-12 |
Last Update Date | 2025-08-12 |