| NPI | 1164660908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHIE SMITH Administrative Assistant 480-965-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |