| NPI | 1285132423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J MOORE Executive Director 480-466-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 347C00000X Private Vehicle | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |