| NPI | 1841826260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFFIATU S TUNIS Program Director 623-271-8248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |