| NPI | 1851276422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLIXTE KAYITANA Owner 480-796-9275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |