| NPI | 1174661078 |
|---|---|
| Former Legal Business Name | ARIZONA BRIDGE TO INDEPENDENT LIVING |
| Entity Type | Organization |
| Authorized Contact | PHIL L PANGRAZIO President And CEO 602-256-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ 131516) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2016-10-21 |