| NPI | 1528209426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DORN President 480-543-9658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1073327) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MA 1073327) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-08-12 |