| NPI | 1568317550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRIL JIMOH Director 928-458-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-04 |