Organization
AVIVA CHILDREN'S SERVICES
Active
Parent organization
EASTER SEALS BLAKE FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTER SEALS BLAKE FOUNDATION
Authorized official
MS. MARISSA S ARENDT MAFM, MBA, CHC, CFE (CFO)
(520) 327-1529
Entity
Organization
Contact information
Practice address
153 S PLUMER AVE, TUCSON, AZ 85719-6300
(520) 327-6779
(520) 327-6052
Mailing address
153 S PLUMER AVE, TUCSON, AZ 85719-6300
(520) 327-6779
(520) 327-6052
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042622
—
AZ
Enumeration date
01/03/2013
Last updated
08/03/2021
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