Organization
MUSIC THERAPY INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE CORDOVA STEVENSON MT-BC (OWNER)
(623) 418-8074
Entity
Organization
Contact information
Practice address
6306 N 7TH ST, PHOENIX, AZ 85014-1549
(602) 279-5801
Mailing address
10633 N 70TH AVE, PEORIA, AZ 85345-6159
(623) 418-8074
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10017144
AZ
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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