NPI | 1184780942 |
---|---|
Other Name | AGL DESERT VIEW |
Entity Type | Organization |
Authorized Contact | ANNETTE INIGUEZ Exec Asst 602-285-0505 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH1185) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |