| NPI | 1417178724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY PETRILLI CEO 602-243-4231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: AZ LTC0176) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-02-13 |