| NPI | 1487078275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA L LAREN Professional Foster Care 623-986-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 1514) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |