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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