| NPI | 1922763895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE M LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |