| NPI | 1245531623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL OGHENJABOR Program Director 623-444-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |