| NPI | 1811617889 |
|---|---|
| Doing Business As | GRACELAND BEHAVIORAL HOME |
| Entity Type | Organization |
| Authorized Contact | KOFI OWUSU KUSI Owner 602-752-7158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |