| NPI | 1225697386 |
|---|---|
| Doing Business As | ALPINE VILLA LUKE |
| Entity Type | Organization |
| Authorized Contact | ERIC GLADE MAUGHAN Administrator/Owner 602-292-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2020-10-21 |