Organization
EASTER SEALS BLAKE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA S ARENDT (CFO)
(520) 327-1529
Entity
Organization
Contact information
Practice address
3860 WEST 24TH STREET, SUITES 201-208, YUMA, AZ 85364
(928) 276-9225
(928) 276-4313
Mailing address
7750 E. BROADWAY BLVD, SUITE A-200, TUCSON, AZ 85710
(520) 327-1529
(520) 269-7080
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
OTC8701
AZ
Other
Enumeration date
04/04/2018
Last updated
09/01/2023
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