| NPI | 1982392023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN KUSI Owner 602-328-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |