| NPI | 1487888954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALU U. ELEANYA C. E. O. 480-354-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ BH3076) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |