| NPI | 1861024069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WANJA MUTHONI Owner Administrator 480-285-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |