| NPI | 1922668862 |
|---|---|
| Doing Business As | ALPINE VILLA |
| Entity Type | Organization |
| Authorized Contact | ERIC GLADE MAUGHAN Administrator/Owner 602-292-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2020-10-21 |