| NPI | 1427640028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MISTICO Owner/CFO 623-806-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |