Individual provider · Type 1 NPI
Sire Keita
Developmental Disabilities Clinic/Center · Goodyear, AZ
Practice location
15780 W Superior Ave
Goodyear, AZ 85338-0030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Disabilities Clinic/Center Primary | 261QD1600X | None listed |
Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
About NPI 1760378095
Sire Keita's National Provider Identifier is 1760378095, issued on Jun 13, 2025. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Goodyear, AZ. The record was last updated on Jun 13, 2025.