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Organization
REMEDIUM DREAM CLINIC LLC
Active
Organization
REMEDIUM DREAM CLINIC LLC
Active
Other names
REMEDIUM DREAM CLINIC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAUSON MUNGANYIZI (CEO)
(463) 201-4929
Entity
Organization
Contact information
Practice address
7550 N 19TH AVE STE 101, PHOENIX, AZ 85021-7966
(463) 201-4929
Mailing address
7550 N 19TH AVE STE 101, PHOENIX, AZ 85021-7966
(463) 201-4929
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/12/2026
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