| NPI | 1689302028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX WILLIAMS Administrator 520-388-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-19 |