| NPI | 1154551224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZEKIEL OJO President 623-418-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |