Organization
METIER
Active
Organization
METIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA STARK (EXECUTIVE DIRECTOR)
(520) 284-0521
Entity
Organization
Contact information
Practice address
5601 W COPPERHEAD DR, TUCSON, AZ 85742-8343
(520) 661-2004
Mailing address
5601 W COPPERHEAD DR, TUCSON, AZ 85742-8343
(520) 661-2004
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
117389
AZ
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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