NPI | 1215526843 |
---|---|
Doing Business As | ALPINE VILLA PARADISE |
Entity Type | Organization |
Authorized Contact | ERIC GLADE MAUGHAN Administrator 602-292-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-01-18 |
Last Update Date | 2021-01-18 |