| NPI | 1881483550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMDA AWAAL Nurse Practitioner 520-510-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |