| NPI | 1528330339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAH KIBITOK MAIYO CEO/Program Director 520-248-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2018-10-09 |