| NPI | 1114221272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE IRENE CONATSER Therapy Director 602-793-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |