| NPI | 1043277569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JACOBY Executive Director 602-336-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: AZ AHCCCS ID 811720) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |