| Easter Seals Blake Foundation | |
|
1821 S. Mastick Way Ste 3 Nogales AZ 85621 | |
| (520) 327-1529 | |
| Not Available |
| Full Name | Easter Seals Blake Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1821 S. Mastick Way Ste 3, Nogales, Arizona |
| Authorized Official Name and Position | Marissa S Arendt (CFO) |
| Authorized Official Contact | 5203271529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Blake Foundation 7750 E Broadway Blvd Ste A200 Tucson AZ 85710-3903 Ph: (520) 327-1529 | Easter Seals Blake Foundation 1821 S. Mastick Way Ste 3 Nogales AZ 85621 Ph: (520) 327-1529 |
| NPI Number | 1023983053 |
|---|---|
| Provider Enumeration Date | 10/08/2025 |
| Last Update Date | 10/08/2025 |
| Certification Date | 09/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023983053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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