| NPI | 1902558513 |
|---|---|
| Doing Business As | DIAMOND DYNASTY |
| Entity Type | Organization |
| Authorized Contact | ANTONETTE PATRICE PEARSON Program Director 623-268-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251S00000X | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |