| NPI | 1750077848 |
|---|---|
| Former Legal Business Name | BARIKUURA VITALITY BEHAVIORAL HOME LLC |
| Entity Type | Organization |
| Authorized Contact | LETOR KPEE The Administrator 623-570-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |