| NPI | 1073848867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETT LINNEBACH President 602-375-8553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |