Organization
THE CHILDRENS CENTER FOR NEURODEVELOPMENTAL STUDIES
Active
Organization
THE CHILDRENS CENTER FOR NEURODEVELOPMENTAL STUDIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA MUSSER (BUSINESS SERVICES)
(623) 915-0345
Entity
Organization
Contact information
Practice address
5430 W GLENN DR, GLENDALE, AZ 85301-2628
(623) 915-0345
(623) 937-5425
Mailing address
5430 W GLENN DR, GLENDALE, AZ 85301-2628
(623) 915-0345
(623) 937-5425
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
4184
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4184
SPECIALIST
AZ
Enumeration date
07/30/2008
Last updated
07/30/2008
Update your record
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