| NPI | 1962162990 |
|---|---|
| Doing Business As | LAVIE BEHAVIORAL HOME |
| Entity Type | Organization |
| Authorized Contact | GABY NGOUNDJO Owner 480-249-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |