NPI | 1558510719 |
---|---|
Doing Business As | ARIZONA MENTOR HAWTHORNE |
Entity Type | Organization |
Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH 3163) |
Enumeration Date | 2008-09-12 |
Last Update Date | 2023-05-14 |