| NPI | 1619649845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MABANY Chief Executive Officer 602-384-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |