Organization
PASTALINO MANOR LLC 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KIVILA B.A. (OWNER/CEO)
(480) 634-5485
Entity
Organization
Contact information
Practice address
2264 W OLIVE WAY, CHANDLER, AZ 85248-4184
(480) 404-7139
Mailing address
1383 W KESLER LN, CHANDLER, AZ 85224-7289
(480) 634-5485
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4822
AZ
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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