| NPI | 1902494941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE MUTWOL CEO 623-225-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |