Organization
RAISING SPECIAL KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TIFFANY (EXECUTIVE DIRECTOR)
(602) 242-4366
Entity
Organization
Contact information
Practice address
5025 E WASHINGTON ST STE 204, PHOENIX, AZ 85034-7439
(602) 242-4366
(602) 242-4306
Mailing address
5025 E WASHINGTON ST STE 204, PHOENIX, AZ 85034-7439
(602) 242-4366
(602) 242-4306
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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