| NPI | 1356792923 |
|---|---|
| Doing Business As | DEVEREUX ARIZONA - CASA ENSUENO |
| Entity Type | Organization |
| Authorized Contact | LANE MARTIN-BARKER Executive Director 480-998-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |