| NPI | 1831783992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GUERRERO CEO/Owner 520-651-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2024-12-30 |