Whalio Doctors

NPI 1043277569

Gomper's Center, INC.

Organisation Developmentally Disabled Services Day Training Agency Phoenix, AZ

Practice location

Address
6601 N 27th Ave, Phoenix, AZ 85017-1219
Phone
(602) 336-0061
Fax
(602) 336-0249

Authorised official

Name
Mark Jacoby
Title
Executive Director
Phone
(602) 336-0061

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence AHCCCS ID 811720 (AZ)

Registry record

NPI
1043277569
Entity type
Organization
NPI issued
27 Apr 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.