| NPI | 1053430454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH GLOVER Administrative Manager 602-441-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALH-5146) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ ALH-5146) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ ALH-5146) | |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: AZ ALH-5146) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ ALH-5146) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ ALH-5146) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ ALH-5146) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |