| NPI | 1962517326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY R KINSEL Manager 480-734-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ bh-3639) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-01-04 |