| NPI | 1609549922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANICET NDAGIJIMANA CEO 520-445-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |