| NPI | 1538487319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSOUF KONE Administrator 520-207-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3498) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |