ACT_Child___Family_Assignment_and_Agreement_Form_Signed.pdf

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Attached to
Master Agreement AZ|CTR070503
Contract number
CTR070503
Issued by
Arizona

About this file

This document is an Assignment and Agreement Form from the Arizona Department of Child Services, specifically involving the Office of Procurement. The primary parties are Arizona Cooperative Therapies (the assignor) and ACT Child & Family, LLC (the assignee), with the Arizona Department of Child Safety serving as the consenting authority. The contract being assigned is originally numbered CTR055534, with a new contract identification number CTR070503 established upon assignment.

The assignment is effective July 1, 2024, with ACT Child & Family, LLC accepting all terms and conditions of the original contract. The assignee's business address is 99 E. Virginia Avenue, Suite 200 in Phoenix, Arizona, with contact information including phone (602-547-1111) and fax (602-296-0226). The document is signed by Leo W. Huppert, III, who is listed as General Manager/Member Partner for Arizona Cooperative Therapies and the assignee company. While specific service details are not elaborated in this assignment document, it appears to be related to child services or therapeutic services within the state of Arizona.

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