Organization
GILA COUNTY ASSOC. RETARDED CITIZENS
Active
Other names
Developmental Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J HAMMER (DIRECTOR)
(928) 425-6053
Entity
Organization
Contact information
Practice address
14873 SOUTH HIGHWAY 188, GLOBE, AZ 85502
(928) 425-4516
Mailing address
PO BOX 1262, GLOBE, AZ 85502-1262
(928) 425-6053
(928) 425-0526
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680597
AHCCCS
AZ
Enumeration date
03/10/2008
Last updated
03/10/2008
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