NPI 1053560110

Super Cool Kids Therapy, LLC

Organisation Clinic/Center Goodyear, AZ

Practice location

Address: 14175 W Indian School Rd Suite B4-521, Goodyear, AZ 85395-8407
Phone: (623) 262-1199

Authorised official

Name: Lou Krejci
Title: Owner
Phone: (623) 262-1199

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1053560110
Entity type: Organization
NPI issued: 14 Sep 2008
Record last updated: 14 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.