| NPI | 1396195939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA DIAZ Administrator 520-709-1586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2024-06-28 |