| NPI | 1699109744 |
|---|---|
| Doing Business As | DEVEREUX ARIZONA |
| Entity Type | Organization |
| Authorized Contact | LANE MARTIN-BARKER Executive Director 480-998-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-4295) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2016-08-04 |