Organization
ARIZONA THERAPEUTIC LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BAYLESS (PRESIDENT)
(602) 230-7373
Entity
Organization
Contact information
Practice address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
(602) 230-5105
Mailing address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
(602) 230-5105
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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