NPI | 1861701294 |
---|---|
Doing Business As | DEVEREUX ARIZONA |
Entity Type | Organization |
Authorized Contact | LANE MARTIN-BARKER Executive Director 480-998-2920 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ BH3648) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2010-10-04 |