| NPI | 1770254021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE TABARO Executive Director 480-828-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |