| NPI | 1730978560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN BOCKARIE Owner 602-350-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |