| NPI | 1053620484 |
|---|---|
| Doing Business As | DEVEREUX ARIZONA |
| Entity Type | Organization |
| Authorized Contact | LANE MARTIN-BARKER Executive Director 480-998-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: AZ BH3647) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |