| NPI | 1740066976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND NYAGATARE MANZI Administrator 602-394-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |