| NPI | 1588831267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DAVID HESS Chief 928-927-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2011-10-21 |