| NPI | 1801542253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHAR MOULAIY Administrator 602-736-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |