| NPI | 1720716608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY MUYUMBU Owner 520-331-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-12-06 |