| NPI | 1689098030 |
|---|---|
| Doing Business As | DBA ARIZONA MENTOR |
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP & Sr Asst General Counsel 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4440) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2025-08-21 |