NPI | 1548964026 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMINIC PAIGE CEO 480-395-0233 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-03-28 |
Last Update Date | 2023-03-28 |