| NPI | 1760187082 |
|---|---|
| Doing Business As | KEVIN NIMOH |
| Entity Type | Organization |
| Authorized Contact | KEVIN NIMOH CEO 480-652-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-06-07 |