IndividualActive
Ramon Lopez, CEO
NPI 1720788466 · Developmentally Disabled Services Day Training Agency · Coolidge, AZ
Provider details
- NPI number
- 1720788466
- Entity type
- Individual
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Credential
- CEO
- Sex
- Male
- Sole proprietor
- Yes
- License
- Q02202313746 (AZ)
Specialties & taxonomies
Agencies
Practice location
2239 W Central Ave
Coolidge, AZ 85128-3231
Phone: (520) 858-6631
Approximate (ZIP-level) locationGet directions
Mailing address
2239 W Central Ave
Coolidge, AZ 85128-3231
Registry dates
- Enumerated
- 2023-03-09
- Last updated
- 2023-03-09
- Certified
- 2023-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.