| NPI | 1659020105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE SOTO Executive Director 928-634-2049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |