| NPI | 1730779828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TELEMA BRIGGS Director Of Operations 623-694-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |