| NPI | 1669013629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYANTI PALMER CEO 480-430-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-10-13 |