Organization
GRAHAM COUNTY RC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY MATLOCK (PROGRAM DIRECTOR)
(928) 428-7968
Entity
Organization
Contact information
Practice address
504 W MAIN ST, SAFFORD, AZ 85546-2727
(928) 428-7968
Mailing address
PO BOX 870, SAFFORD, AZ 85548-0870
(928) 428-7968
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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