| NPI | 1053577023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA MUSSER Business Services 623-915-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AZ 4184) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |