| NPI | 1992326029 |
|---|---|
| Former Legal Business Name | SEQUELCARE OF ARIZONA |
| Entity Type | Organization |
| Authorized Contact | BROOKE WILSON Senior Credentialing Specialist 928-910-7644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2022-07-06 |