| 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 |