Wallace'S Place in Peoria - Community/behavioral Health
Wallace'S Place - NPI 1649441866
Wallace'S Place is a Community/behavioral Health in Peoria, Arizona. Wallace'S Place practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Wallace'S Place is 1649441866. The last update date is 2008-03-15.
Wallace'S Place's current location address is 9636 W Oberlin Way, Peoria, Arizona. You can contact this provider via phone number 6232031148 and fax number 6238254639. The mailing address for Wallace'S Place is 9636 W Oberlin Way, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wallace'S Place |
|---|---|
| Address | 9636 W Oberlin Way, Peoria, Arizona |
| Phone Number | 6232031148 |
| Fax Number | 6238254639 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Clark Lynn Cynthia |
| Credentials | BSN RNC |
| Telephone Number | 6232031148 |
NPI Number Detail
| NPI Number | 1649441866 |
|---|---|
| Provider Enumeration Date | 2008-03-15 |
| Last Updated Date | 2008-03-15 |
Provider Mailing Address Detail
| Address | 9636 W Oberlin Way |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853838750 |
| Phone Number | 6232031148 |
| Fax Number | 6238254639 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 304367 | AZ | AHCCCS |
Post Comment/ Review Below
What is the Wallace'S Place's unique identification number?
The Wallace'S Place has been assigned the NPI (National Provider Identifier) Number 1649441866 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Wallace'S Place's facilities are situated?
The facilities of Wallace'S Place are physically located at the following address: 9636 W Oberlin Way, Peoria, AZ, 853838750.
What is Wallace'S Place's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wallace'S Place is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did Wallace'S Place receive its 1649441866 assignment from the Centers for Medicare & Medicaid Services?
The Wallace'S Place was assigned its 1649441866 on 2008-03-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Wallace'S Place, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wallace'S Place, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-15.
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