| NPI | 1902519531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIONA TETA CEO/Manager 520-809-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-05-09 |