| NPI | 1063672798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES CHAVEZ Director 520-363-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-07-21 |