| NPI | 1023441987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELLE SUDNEY Manager 480-696-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child (Licence: AZ 21024) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: AZ 394330) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |