| NPI | 1700138369 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTINE B. SANTA CRUZ Speech Language Pathology Assistant 602-882-0628 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: AZ #SLPA6722) | 
| Enumeration Date | 2012-10-07 | 
| Last Update Date | 2012-10-07 |