| NPI | 1689284531 |
|---|---|
| Doing Business As | POWER HOUSE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHARLES MACKEY Executive Director 480-779-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |