| NPI | 1609246560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAH KIBITOK MAIYO CEO/Propgram Director 520-248-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-4730) |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2015-10-04 |