| NPI | 1154672582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY ANN MASON Speech Language Pathologist 602-999-6358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ SLP-4062) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |