| NPI | 1497162804 |
|---|---|
| Former Legal Business Name | DBA AHWATUKEE ADULT CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREA GARCIA DATINGALING President/CEO 602-277-8721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: still waiting) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |