| NPI | 1821314568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKERE OKOJIE Administrator/Provider 520-954-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3947) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2011-11-08 |