| NPI | 1932760600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWAN C. DAVIS CEO 623-760-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 3747A0650X Technician, Attendant Care Provider | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |