| NPI | 1144543182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYREE THOMPSON Owner 602-618-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ BH-3419) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |