| NPI | 1740020056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHRIA NELSON CEO 480-431-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-05-27 |