| NPI | 1750146817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GUERRERO Owner/CEO 480-617-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |