| NPI | 1841872678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON VEGA Owner 623-285-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |