| NPI | 1922742063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHIRE NZAYISENGA Owner 602-757-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |