| 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 |