| NPI | 1629793682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA PETROV COO 602-258-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-13 |