| NPI | 1003787276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA CHISLON Owner 520-518-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |