NPI | 1740696673 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE MASTRANGELO Exec. Director 520-820-3650 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: AZ 83) |
Enumeration Date | 2014-07-11 |
Last Update Date | 2014-07-11 |