| NPI | 1740866888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELECHI ONWWUCHEKWA Administrator 602-472-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |