| NPI | 1699380048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J ROBINSON Member 623-341-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |