NPI | 1629198858 |
---|---|
Doing Business As | COMFORT HAVEN OF MESA |
Entity Type | Organization |
Authorized Contact | STEVEN JAMES THARALSON Director 480-461-8272 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AZ ALH-4567) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2007-08-01 |