| NPI | 1306676515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONETTE JACKSON Director 602-418-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |