| NPI | 1558482117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BREWINGTON President Executive Director 480-456-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AZ A1) |
| Additional Taxonomies | 251S00000X (Licence: AZ A1) |
| 310400000X Assisted Living Facility (Licence: AZ A1) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ A1) | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ A1) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AZ A1) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ A1) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AZ A1) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ A1) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AZ A1) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: AZ A1) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-07-21 |