| NPI | 1659247906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN LACY Do 602-319-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 261QP2400X Clinic/Center, Prison Health | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |