NPI | 1346836426 |
---|---|
Entity Type | Organization |
Authorized Contact | THACIANNE KAYITESI CEO 520-499-7014 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2020-12-14 |
Last Update Date | 2020-12-14 |