| NPI | 1548547649 |
|---|---|
| Doing Business As | DEVEREUX ARIZONA |
| Entity Type | Organization |
| Authorized Contact | SOPHIE PARK Lead Financial Specialist 480-889-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ BH3881) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |