| NPI | 1871240424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME BROWN Chief Executive Director/Owner 623-336-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-11-02 |