Organization
THE KIDDO'S CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO ROMERO MS BHT (OWNER/CEO)
(520) 732-3648
Entity
Organization
Contact information
Practice address
815 W FIR AVE, PIRTLEVILLE, AZ 85626-0629
(520) 227-7875
Mailing address
PO BOX 815, PIRTLEVILLE, AZ 85626-0815
(520) 732-3648
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
04/05/2023
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