| NPI | 1245172899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARLA JACKSON Provider 602-799-3597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 385H00000X Respite Care |
| 342000000X Transportation Network Company | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2026-04-06 |
| Last Update Date | 2026-04-06 |