NPI | 1609933662 |
---|---|
Doing Business As | ARIZONA MENTOR |
Entity Type | Organization |
Authorized Contact | BRETTT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ 2279) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2023-05-14 |