NPI | 1477270098 |
---|---|
Entity Type | Organization |
Authorized Contact | TIANNA CANN Administrator 520-840-3182 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2022-10-24 |
Last Update Date | 2022-10-24 |