| NPI | 1831852680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA VERONICA TARAZON AREVALO Director 520-869-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 251B00000X Case Management | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |