| NPI | 1275122442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MICHELLE JACKSON Director 602-641-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-03-05 |