| NPI | 1073388641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIRE BIGIRIMANA Administrator 520-330-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-11-23 |