Organization
PASTALINO MANOR LLC
Active
Other names
pastalino manor llc
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MUNYAO KIVILA SR. BA (CEO)
(480) 634-5485
Entity
Organization
Contact information
Practice address
4929 E LAUREL LN, SCOTTSDALE, AZ 85254-4640
(951) 236-4717
(480) 664-7668
Mailing address
1383 W KESLER LN, CHANDLER, AZ 85224-7289
(951) 236-4717
(480) 664-7668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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