| NPI | 1679704381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS EBAI TANYI Executive Director 480-375-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3319) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |