NPI | 1386998276 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNEST ESTEBAN Clinical Director 480-369-4338 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ BH4110) |
Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ BH4110) |
Enumeration Date | 2012-10-31 |
Last Update Date | 2012-10-31 |