| NPI | 1154797454 |
|---|---|
| Doing Business As | DEVEREUX ARIZONA - CASA VALOR |
| Entity Type | Organization |
| Authorized Contact | LANE BARKER Executive Director 602-283-1573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-01-04 |