| NPI | 1952867335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE DUAH Owner 623-418-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |