| NPI | 1508480500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN HOMCO Executive Director 623-205-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2021-03-10 |