Pastalino Manor LLC 5
NPI #1659911576 in Laveen, Arizona
Provider Information
- NPI Number
- 1659911576
- Entity Type
- Organization
- Organization Name
- Pastalino Manor LLC 5
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PASTALINO MANOR LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jan 8, 2020
- Last Updated
- Jan 8, 2020
Practice Location
Authorized Official
- Name
- MR. PAUL MUNYAO KIVILA SR.
- Title
- ADMINISTRATOR
- Phone
- (480) 634-5485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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