| NPI | 1942501630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY D. COOPER Mac/Dsc Coordinator 520-770-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |