Organization
COMMUNITY PROVIDER OF ENRICHMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW LUEHRING BA (CONSULTANT)
(602) 292-7563
Entity
Organization
Contact information
Practice address
1110 E MCDOWELL RD, PHOENIX, AZ 85006-2611
(602) 685-1940
Mailing address
1110 E MCDOWELL RD, PHOENIX, AZ 85006-2611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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