| NPI | 1942835806 |
|---|---|
| Doing Business As | MERCY FAVOR AND GRACE RESIDENTIAL HOME |
| Entity Type | Organization |
| Authorized Contact | ATINUKE COMFORT OKUNADE Program Director 602-918-5492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |