| NPI | 1568761419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA RONNIE BERGER Executive Director 520-622-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AZ CDC-9821) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |