| NPI | 1710383252 |
|---|---|
| Doing Business As | ARIZONA MENTOR |
| Entity Type | Organization |
| Authorized Contact | MARIANNA MOORE Regional Director 602-567-4919 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |