| NPI | 1366779076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA COLLEEN JOHNSTON CEO 602-253-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: AZ 042416) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AZ 042416) |
| 253Z00000X In Home Supportive Care (Licence: AZ 042416) | |
| 385H00000X Respite Care (Licence: AZ 042416) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AZ 042416) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: AZ 042416) | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |