| NPI | 1538845128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE JORDAN Co Owner 602-586-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |