| NPI | 1740378181 |
|---|---|
| Other Name | KIVA HOUSE |
| Entity Type | Organization |
| Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-1012) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-10-09 |