| NPI | 1205013356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAD DENTON Owner 520-624-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AZ ALC-5167) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ ALC-5167) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ ALC-5167) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |