| NPI | 1649755562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER ATIENO LANGI Administrator 520-302-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |