| NPI | 1992136808 | 
|---|---|
| Other Name | PIMA HOUSE | 
| Entity Type | Organization | 
| Authorized Contact | MARISSA S ARENDT CFO 520-327-1529  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4428)  | 
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-4428)  | 
| Enumeration Date | 2013-12-02 | 
| Last Update Date | 2021-08-03 |