NPI | 1841525151 |
---|---|
Entity Type | Organization |
Authorized Contact | JONAH KIBITOK MAIYO CEO/Program Director 520-248-1295 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3425) |
Enumeration Date | 2009-10-05 |
Last Update Date | 2009-10-05 |