NPI | 1558934265 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN HILL CEO 520-223-9001 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251B00000X Case Management | |
251C00000X Day Training, Developmentally Disabled Services | |
251S00000X | |
252Y00000X Early Intervention Provider Agency | |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
323P00000X Psychiatric Residential Treatment Facility | |
Enumeration Date | 2021-07-20 |
Last Update Date | 2021-08-26 |