| NPI | 1245494178 |
|---|---|
| Doing Business As | ARIZONA MENTOR |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AZ ALH-6684) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-03-05 |