Organization
ARIZONA TRAINING PROGRAM - PINCHOT
Active
Parent organization
STATE OF ARIZONA
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
3322 E PINCHOT, PHOENIX, AZ 85018
(602) 956-7782
Mailing address
1789 W JEFFERSON ST, PHOENIX, AZ 85005
(602) 542-6857
(602) 364-1322
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040048
—
AZ
Enumeration date
07/22/2008
Last updated
07/03/2024
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