| NPI | 1184071276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY M POLLOCK CEO/Owner 623-826-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: AZ SLP4840) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA6929) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4840) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |