NPI | 1184513640 |
---|---|
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 | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2025-06-30 |
Last Update Date | 2025-06-30 |