| NPI | 1780424077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TADESSE JOTE Administer 602-410-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2024-05-25 |
| Last Update Date | 2024-05-25 |