| NPI | 1205004991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMUALDO R MUNOZ Program Administrator 480-699-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AZ CSA08ADHS0198) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |