| NPI | 1750950432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATA INIGO Licensed Professional Counselor 520-904-5273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |