| NPI | 1417269176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTINA NNEKA ANYAEJI Program Director 520-777-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH3603) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |