| NPI | 1508940685 |
|---|---|
| Other Name | CASA DE ESPERANZA GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | CAROL A. CARR CEO 928-341-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-1554) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-10-15 |