| NPI | 1629354493 |
|---|---|
| Other Name | DINE HOME |
| Entity Type | Organization |
| Authorized Contact | GISELIA PRATS Director 602-348-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ bh3963) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |