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 |