| NPI | 1326400623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISHA ANDREWS CEO 520-216-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2022-07-21 |