| NPI | 1699023846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH GONZALES Owner 480-969-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: AZ 479687) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |