| NPI | 1952913998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA VEGA Owner 602-298-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2022-11-07 |