| NPI | 1386221349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM NSHIMIRIMANA Member/ Administrator 520-332-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |