| NPI | 1144592692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA MARGARITA MUNGUIA President 520-792-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3921) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |