| NPI | 1679039689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SHERNAI LAURIE CEO 623-218-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 251S00000X | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |