| NPI | 1912152356 |
|---|---|
| Doing Business As | REMUDA LIFE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JULIE KESTNER CFO / Sr. VP 928-684-3913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: VA 935-02-019) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |