| NPI | 1902034424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT A CALABRO Administrator 602-357-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ BH3258) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2010-12-15 |