| NPI | 1235675737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS N. JORGE President CEO 602-909-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: AZ BH5022) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |