is a Community/behavioral Health in Phoenix, Arizona. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for is 1184881831. The last update date is .
's current location address is 38414 N 12th St, Phoenix, Arizona. You can contact this provider via phone number 6024789697 and fax number 6234652567. The mailing address for is 38414 N 12th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 38414 N 12th St, Phoenix, Arizona |
| Phone Number | 6024789697 |
| Fax Number | 6234652567 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1184881831 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 38414 N 12th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850864802 |
| Phone Number | 6024789697 |
| Fax Number | 6234652567 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | LPC-12682 |
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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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