| NPI | 1346089935 |
|---|---|
| Doing Business As | BEHAVIORAL HEALTH RESIDENTIAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | FRANCIS F GANAWA Owner/Manager 928-600-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-28 |