| NPI | 1174130371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DALTON Director 520-449-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-11-17 |