| NPI | 1255711131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA GAISER Speech Language Pathologist 602-396-4374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AZ TSLP9051) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |