| NPI | 1568821346 |
|---|---|
| Doing Business As | WOODLAND HOME |
| Entity Type | Organization |
| Authorized Contact | MICHELE HOSPODKA Contracting And Credentialing 928-537-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH4759) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-12-09 |