| NPI | 1760146393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA GRAHAM Owner 602-583-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |