| NPI | 1942322425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA OXLEY Executive Director 602-616-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |