Organization
INTEGRATED FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE CAMILLE ORSAK (PRESIDENT)
(480) 294-2056
Entity
Organization
Contact information
Practice address
1684 W MACAW DR, CHANDLER, AZ 85286-7449
(480) 294-2056
Mailing address
1684 W MACAW DR, CHANDLER, AZ 85286-7449
(480) 294-2056
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
AZ
252Y00000X
Early Intervention Provider Agency
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083765440
—
AZ
Enumeration date
01/07/2010
Last updated
01/11/2012
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