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Organization

PILGRIM REST FOUNDATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD YARBOUGH MPA (PRESIDENT)
(602) 257-5064
Entity
Organization

Contact information

Practice address
1401 E JEFFERSON ST, PHOENIX, AZ 85034-2315
(602) 257-4575
Mailing address
1401 E JEFFERSON ST, PHOENIX, AZ 85034-2315
(602) 257-4575

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
07/03/2025
Last updated
07/03/2025
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