| NPI | 1245988542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECA PAUL Owner 480-628-5742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |