| NPI | 1912594748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON C OKWUOBU Founder 623-521-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-05-19 |