| NPI | 1699910877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GARDNER Director Of Services 928-522-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2010-09-10 |