| NPI | 1104176536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE LOBL CEO 480-518-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ BH-4096) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2022-08-12 |