| NPI | 1518319631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A KADIRI Administrator 520-822-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 12869) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |