| NPI | 1972178424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHRA PLAGENS CEO 623-570-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |