| NPI | 1811680713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA ASHILI Administrator 480-239-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |