| NPI | 1396107041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN ARRIQUIVES Administrator 520-302-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |