| NPI | 1164863361 |
|---|---|
| Other Name | CASA DE VIDA |
| Entity Type | Organization |
| Authorized Contact | RAYMOND EARNEST LINAFELTER Executive Director 520-466-8850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4308) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |