| NPI | 1104172865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIAN D. BLOOMQUIST Owner / Director 928-699-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |