| NPI | 1982236212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE L SIMPSON President 480-231-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |