Super Cool Kids Therapy, Llc | |
14175 W Indian School Rd Suite B4-521 Goodyear AZ 85395-8407 | |
(623) 262-1199 | |
Not Available |
Full Name | Super Cool Kids Therapy, Llc |
---|---|
Speciality | Clinic/center |
Location | 14175 W Indian School Rd, Goodyear, Arizona |
Authorized Official Name and Position | Lou Krejci (OWNER) |
Authorized Official Contact | 6232621199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Super Cool Kids Therapy, Llc 14175 W Indian School Rd Suite B4-521 Goodyear AZ 85395-8407 Ph: () - | Super Cool Kids Therapy, Llc 14175 W Indian School Rd Suite B4-521 Goodyear AZ 85395-8407 Ph: (623) 262-1199 |
NPI Number | 1053560110 |
---|---|
Provider Enumeration Date | 09/14/2008 |
Last Update Date | 09/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053560110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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