| NPI | 1558678524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA JUDY CAO 520-594-6499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |