| NPI | 1568049781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FUANGUNYI CEO 520-771-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |