| NPI | 1700527637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNMILOLA ELIZABETH-TOSIN OGUNLA Director 602-628-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |