NPI | 1356698625 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA DEANN GALLEGOS Speech Pathologist/Owner 623-643-8616 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 4470) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2012-08-06 |