| NPI | 1679847834 |
|---|---|
| Former Legal Business Name | THE BLAKE FOUNDATION |
| Entity Type | Organization |
| Authorized Contact | MARISSA S ARENDT CFO 520-327-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3970) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2021-08-03 |