Organization
ARIZONA TRAINING PROGRAM @ COOLIDGE
Active
Parent organization
STATE OF ARIZONA
Other names
20 Sandstone Court
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ARIZONA
Authorized official
ZANE GARCIA RAMADAN (ASSISTANT DIRECTOR)
(480) 490-6538
Entity
Organization
Contact information
Practice address
2800 N. HIGHWAY 87, COOLIDGE, AZ 85228
(520) 723-4151
Mailing address
2800 N HIGHWAY 87, COOLIDGE, AZ 85128-9460
(520) 723-2600
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616203
—
AZ
Enumeration date
11/12/2008
Last updated
07/03/2024
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