| NPI | 1114744786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN REDMOND Owner 480-793-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-25 |