| NPI | 1285038588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN LETENDRE DENALI Program Director 928-339-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |