NPI | 1679914345 |
---|---|
Entity Type | Organization |
Authorized Contact | LATOYA WILLIAMS Chief Executive Officer 480-865-2640 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AZ OTC6948) |
Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
Enumeration Date | 2013-07-10 |
Last Update Date | 2022-09-13 |