| NPI | 1114627825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN MUTABAAZI VAN HOOK Owner 602-918-8524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |