| NPI | 1801289178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ADE EPIE Owner 602-481-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH4564) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |