| NPI | 1821958109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE NJUE CEO 480-980-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253J00000X Foster Care Agency | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |