| NPI | 1699536433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YINKA SERIKI Administrator 602-687-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |