NPI | 1114152394 |
---|---|
Doing Business As | ARIZONA MENTOR |
Entity Type | Organization |
Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr Asst General Counsel 952-836-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA09ADHS0181) |
Enumeration Date | 2009-05-18 |
Last Update Date | 2025-08-21 |