| NPI | 1437862398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT M FLORES Executive Director 520-301-7883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |