| NPI | 1003138595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORCHEL DONTAE PATTERSON Director 602-790-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AZ 04942) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-07-15 |