| NPI | 1245682673 |
|---|---|
| Doing Business As | ADULT FOSTER CARE PROVIDER |
| Entity Type | Organization |
| Authorized Contact | NICOLE MICHELLE CHAMBERS Adult Foster Care 480-438-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2016-07-09 |