| NPI | 1093039208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE GENTEMAN Co Owner, Director 520-991-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |