| NPI | 1255292769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA BAIRD Owner / Administrator 602-472-6209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 174200000X Meals | |
| 310400000X Assisted Living Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2026-03-31 |