| NPI | 1164248613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASHIRA MCCRAY CEO 602-600-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 225XR0403X Occupational Therapist, Driving and Community Mobility |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 273Y00000X Rehabilitation Unit | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |