| NPI | 1205293420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN KADEL Director 602-529-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ 08908) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |