| NPI | 1598433781 |
|---|---|
| Former Legal Business Name | PINNACLE VISTA RESIDENTIAL LLC |
| Entity Type | Organization |
| Authorized Contact | MONIQUE BLANTON Manager 480-334-1417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |