| NPI | 1851909964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K. KOSKEI Healthcare Administrator 602-516-9785 |
| 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 | 2020-07-15 |
| Last Update Date | 2020-07-15 |