| NPI | 1497109292 |
|---|---|
| Doing Business As | QUINTANA |
| Entity Type | Organization |
| Authorized Contact | JOHN M KAMAU Administrator 602-369-2609 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ BH4705) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-05-26 |