| NPI | 1679723191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANN CONTRERAS Owner/CEO 480-612-7362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ SLP4118) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: AZ SLP4118) |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2008-09-20 |