| NPI | 1336860550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASTEUR KIM MUGISHA Manager 520-808-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |