NPI | 1275942468 |
---|---|
Doing Business As | MUCO BEHAVIORAL HEALTH RESIDENTIAL HOME |
Entity Type | Organization |
Authorized Contact | DEOGRATIAS BARANSAKA Administrator 623-760-8378 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AZ 851737) |
Enumeration Date | 2014-08-13 |
Last Update Date | 2024-11-04 |