| NPI | 1730896366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HOWARD Owner 602-487-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |