| NPI | 1639927585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON AMEDAI Owner 480-349-0813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-13 |