Portable Practical Educational Preparation, INC

NPI #1558678524 in Tucson, Arizona

Provider Information

NPI Number: 1558678524
Entity Type: Organization
Organization Name: Portable Practical Educational Preparation, INC
Subpart: Yes (part of a larger organization)
Parent Organization: PORTABLE PRACTICAL EDUCATIONAL PREPARATION, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 10, 2010
Last Updated: Sep 10, 2010

Practice Location

Address: 901 E 46TH ST
City: Tucson
State: Arizona
ZIP Code: 85713-5008
Phone: (520) 594-6499

Authorized Official

Name: GINA JUDY, MAOM
Title: CAO
Phone: (520) 594-6499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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