| NPI | 1295416048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY KARINA PINEDO CEO/Owner 623-696-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 3747A0650X Technician Attendant Care Provider | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |