| NPI | 1952457392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE EVONNE HULTMAN Administrator 623-581-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: AZ BH-2695) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |