| NPI | 1952781247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL V PETRINI Owner 602-486-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |