| NPI | 1649998691 |
|---|---|
| Doing Business As | AVRA VALLEY RELIANCE BEHAVIORAL HOME LLC |
| Entity Type | Organization |
| Authorized Contact | CATHERINE KAMWITHI Administrator 520-624-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |