| NPI | 1710637772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA NISABWE CEO/Owner 520-409-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |