| NPI | 1548602071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDY VEGA CEO 602-298-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4148) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-11-07 |