| NPI | 1730846866 |
|---|---|
| Doing Business As | LIVE WELL RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | DESIRE RUSINGIZWA Program Director 602-214-9544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |