| NPI | 1699371237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE NTIRANYIBAGIRA CEO/Administrator 602-820-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |