Adas-adama Developmental Assistance & Support Llc | |
9304 W Oregon Ave Glendale AZ 85305-3343 | |
(602) 829-0907 | |
Not Available |
Full Name | Adas-adama Developmental Assistance & Support Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 9304 W Oregon Ave, Glendale, Arizona |
Authorized Official Name and Position | Adama Kamara (OWNER AND CEO) |
Authorized Official Contact | 6028290907 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adas-adama Developmental Assistance & Support Llc 9304 W Oregon Ave Glendale AZ 85305-3343 Ph: (602) 900-3037 | Adas-adama Developmental Assistance & Support Llc 9304 W Oregon Ave Glendale AZ 85305-3343 Ph: (602) 829-0907 |
NPI Number | 1194314583 |
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Provider Enumeration Date | 01/11/2021 |
Last Update Date | 01/12/2021 |
Certification Date | 01/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194314583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
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