Organization
PASTALINO MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MUNYAO KIVILA (ADMINISTRATOR)
(480) 634-5485
Entity
Organization
Contact information
Practice address
11418 S GUADALUPE DR, YUMA, AZ 85367-6190
(951) 500-8616
(480) 699-7288
Mailing address
1383 W KESLER LN, CHANDLER, AZ 85224-7289
(951) 500-8616
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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