| NPI | 1932950243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND E MOSIMA Administrator 480-352-7441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |