| NPI | 1841884947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRAM NJOROGE Administrator 520-372-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-08-08 |