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Organization

THE CLUBHOUSE INNOVATIVE THERAPY CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALLY VULCANO (OWNER)
(602) 368-8601
Entity
Organization

Contact information

Practice address
4600 E SHEA BLVD, 101, PHOENIX, AZ 85028-6024
(602) 368-8601
Mailing address
4600 E SHEA BLVD, 101, PHOENIX, AZ 85028-6024

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
TSLP9431
AZ

Other

Enumeration date
06/08/2015
Last updated
06/08/2015
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