| NPI | 1134457336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY PEARSON Owner/ 602-690-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 252Y00000X Early Intervention Provider Agency | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2009-11-27 |
| Last Update Date | 2009-11-27 |