| NPI | 1013172352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ANTONIO COCHRANE CEO/Executive Director 602-586-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-26 |