| NPI | 1568152718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM NSHIMIRIMANA Administrator 520-332-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |