NPI | 1790376275 |
---|---|
Doing Business As | DEVEREUX ARIZONA BROADWAY CAMPUS |
Entity Type | Organization |
Authorized Contact | ANTHONY MCKEEVER National Director Accts Receivable 610-542-3064 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-01-28 |
Last Update Date | 2021-01-28 |