| NPI | 1629780598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINA NAKIYAGA Manager 520-607-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |