| NPI | 1184343287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE CHANI Hcbs Manager 623-696-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |