| Addison Behavioral Services | |
|
1717 S Dorsey Ln Apt 3070 Tempe AZ 85281-7007 | |
| (817) 734-6325 | |
| Not Available |
| Full Name | Addison Behavioral Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1717 S Dorsey Ln Apt 3070, Tempe, Arizona |
| Authorized Official Name and Position | Duncan Maina Mwangi (PMHNP) |
| Authorized Official Contact | 8177346325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Behavioral Services 914 E Broadway Rd # 1113 Tempe AZ 85282-1502 Ph: (817) 734-6325 | Addison Behavioral Services 1717 S Dorsey Ln Apt 3070 Tempe AZ 85281-7007 Ph: (817) 734-6325 |
| NPI Number | 1609563204 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609563204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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