| NPI | 1962641621 |
|---|---|
| Other Name | RAIVEN GARDENS |
| Entity Type | Organization |
| Authorized Contact | WAYNE HOCHSTRASSER CEO/President 602-995-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH-2242) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |