| NPI | 1699363770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA D BROWN Administrator 520-217-0915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |