| NPI | 1023850948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA VAFAIE Owner 520-971-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |