| NPI | 1528782315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN PAUL IRANZI Program Director 520-248-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |