Organization
ACTIVE FAMILY SOLUTIONS
Active
Organization
ACTIVE FAMILY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD G GLENNRELLER OTR (OWNER)
(602) 769-2532
Entity
Organization
Contact information
Practice address
13327 N 152ND AVE, SURPRISE, AZ 85379-9119
(602) 769-2532
Mailing address
13327 N 152ND AVE, SURPRISE, AZ 85379-9119
(602) 769-2532
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3836
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184791
ARIZONA DEPARTMENT OF ECONOMIC SECURITIES
AZ
Enumeration date
08/06/2009
Last updated
08/06/2009
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