| NPI | 1720488448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WOLF Office Manager 928-542-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: AZ 1700293) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |