| NPI | 1821467440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNSO FEYI OGUNLA Program Director 602-384-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4694) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |