Organization
PINAL GILA COMMUNITY CHILD SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LUICCI-DAVIS (ACCOUNTING SPECIALIST)
(520) 723-1213
Entity
Organization
Contact information
Practice address
900 N PLAZA DR, APACHE JUNCTION, AZ 85220-4110
(480) 982-4516
(480) 288-9501
Mailing address
1750 S ARIZONA BLVD, COOLIDGE, AZ 85228-5920
(520) 723-1213
(520) 723-0806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
AZ
225X00000X
Occupational Therapist
—
AZ
2355S0801X
Speech-Language Assistant
Primary
—
AZ
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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