| NPI | 1568292761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DE ALVA CEO 520-861-6857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2024-08-03 |