| NPI | 1699523977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADANE HAILE NIGANI Administrator 623-330-7509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |