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 |