| NPI | 1780141374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDANA ROUSHANMEIDAN Behavior Analyst 520-907-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2025-06-25 |