| NPI | 1013705458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHRA HIRSI Program Adminstrator 520-891-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-04-26 |