| NPI | 1134594153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELINA GONZALEZ Slpa 602-326-2063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AZ SLPA9604) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |