| NPI | 1124057666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY MARIE GASKILL Program Director 928-532-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-09-11 |