| NPI | 1922677442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID POPOOLA Director 623-800-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2021-06-25 |