Organization
ARC/NEPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES CHAVEZ (DIRECTOR)
(520) 363-5581
Entity
Organization
Contact information
Practice address
316 ALDEN RD, KEARNY, AZ 85237-0535
(520) 363-5581
(520) 363-5581
Mailing address
PO BOX 535, KEARNY, AZ 85237-0535
(520) 363-5581
(520) 363-5581
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
AZ
252Y00000X
Early Intervention Provider Agency
—
AZ
Other
Enumeration date
06/16/2008
Last updated
07/21/2022
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