| NPI | 1942848627 |
|---|---|
| Doing Business As | LIVE WELL RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | DESIRE RUSINGIZWA Program Director 623-877-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |