| NPI | 1013486943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY PITTMAN Director 480-389-7936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |