| NPI | 1174742795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA GORODISHTER Owner Manager 602-863-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ ALH2502) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |