| NPI | 1508480500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN HOMCO Executive Director 623-205-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2024-08-05 |