| NPI | 1689293177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLOMON ANTHONY Owner 480-200-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |