| NPI | 1477203776 |
|---|---|
| Doing Business As | AZ SOCIAL SERVICE |
| Entity Type | Organization |
| Authorized Contact | VICTOR NWAOKOLO Administrator 979-494-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |