| NPI | 1083967376 |
|---|---|
| Other Name | HAYWARD HOUSE |
| Entity Type | Organization |
| Authorized Contact | ANNETTE M INIGUEZ Executive Assistant 602-285-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH4104) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |