NPI | 1073880225 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERI MOORMANN Director 520-370-3080 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AZ 0161) |
Enumeration Date | 2011-11-16 |
Last Update Date | 2011-11-16 |