| NPI | 1750197141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ALVAREZ Owner/Administrator 480-401-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |