| NPI | 1578885166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES O'BRIEN President 602-295-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: AZ 271653) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: AZ 271653) |
| 253Z00000X In Home Supportive Care (Licence: AZ 271653) | |
| 305R00000X Preferred Provider Organization (Licence: AZ 271653) | |
| 385H00000X Respite Care (Licence: AZ 271653) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AZ 271653) | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |