| NPI | 1457406589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY NICOLE MILLER Administrator 623-535-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ bh2685) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |