| NPI | 1447812755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLI KING Chief Operating Officer 520-400-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |