| NPI | 1467196980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB BRIONES CEO 928-961-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-06-07 |