Organization
CERTITUDE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDALEN JAE KRENZELOK (EXECUTIVE DIRECTOR)
(480) 540-4130
Entity
Organization
Contact information
Practice address
8155 W THUNDERBIRD RD, PEORIA, AZ 85381-4159
(480) 540-4130
Mailing address
9319 W HATCHER RD, PEORIA, AZ 85345-6312
(602) 301-9447
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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