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Organization

GILA COUNTY

Active
Other names
Gila Employment and Special Training
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHIRLEY DAWSON (CHAIRMAN, BOARD OF SUPERVISORS)
(928) 425-3231
Entity
Organization

Contact information

Practice address
5515 S APACHE AVE, SUITE 200, GLOBE, AZ 85501-4428
(928) 402-8664
(928) 425-9468
Mailing address
1400 E ASH ST, GLOBE, AZ 85501-1483
(928) 425-3231

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
925886
AHCCCS
AZ
Enumeration date
02/23/2009
Last updated
02/23/2009
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