Organization
SAGUARO FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KERRY VAN GUILDER M.S. (EXECUTIVE DIRECTOR)
(928) 783-6069
Entity
Organization
Contact information
Practice address
1495 S 4TH AVE, YUMA, AZ 85364-4603
(928) 783-6069
(928) 782-0061
Mailing address
1495 S 4TH AVE, YUMA, AZ 85364-4603
(928) 783-6069
(928) 782-0061
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
AZ
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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