| NPI | 1982360731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN Y SANTIAGO Owner 520-370-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |