NPI | 1053844548 |
---|---|
Other Name | DESERT MOUNTAIN SUBACUTE |
Former Legal Business Name | ASSURANCE HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BHxxxx) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2020-01-03 |