| NPI | 1952022592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM NSHIMIRIMANA Owner 520-332-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |