| NPI | 1962052266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MUHAMMAD Owner 623-248-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-12-16 |