| NPI | 1699457143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DISTLER Director 623-256-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-09-11 |