| NPI | 1467196980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB DECINO CEO 928-961-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2026-04-08 |