| NPI | 1922427988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEA RIVERA Chief Executive Officer 520-840-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4451) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |