| NPI | 1801771050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAINE EVETTE CONLEY Chief Exective Officer 520-840-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |