| NPI | 1770052292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN NELSON Owner 480-507-3644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |