Individual provider · Type 1 NPI

Grace Villa Olague

Mental Illness Community Based Residential Treatment Facility · Tucson, AZ

NPI number 1104096486 Active

Practice location

4791 S Lincoln Ridge Dr
Tucson, AZ 85730-4815

Call (520) 900-2749 Map

Mailing address

6141 E Grant Rd Bldg A
Tucson, AZ 85712-5829

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X639513 (AZ)
Respite Care 385H00000X639516 (AZ)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1104096486

Grace Villa Olague's National Provider Identifier is 1104096486, issued on Mar 3, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tucson, AZ. The record was last updated on Jul 27, 2026.