| NPI | 1194280479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASCAL AMINKENG ETIENDEM Assistant Administrator 520-981-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |