NPI | 1255147146 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYAH WILLIAMS Owner 602-726-1001 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
310500000X Intermediate Care Facility, Mental Illness | |
Enumeration Date | 2024-12-05 |
Last Update Date | 2024-12-05 |