| NPI | 1790440915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAVOR CHIKELU Administrator 480-651-6458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-02 |