| NPI | 1790384030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ORANGE Director 480-406-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |