| Adsi Mentors Behavioral Clinic | |
|
1717 W Northern Ave Ste 105 Phoenix AZ 85021-5400 | |
| (602) 820-8168 | |
| Not Available |
| Full Name | Adsi Mentors Behavioral Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1717 W Northern Ave Ste 105, Phoenix, Arizona |
| Authorized Official Name and Position | Rowena Erickson (ONWER) |
| Authorized Official Contact | 6028208168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adsi Mentors Behavioral Clinic 1717 W Northern Ave Ste 105 Phoenix AZ 85021-5400 Ph: () - | Adsi Mentors Behavioral Clinic 1717 W Northern Ave Ste 105 Phoenix AZ 85021-5400 Ph: (602) 820-8168 |
| NPI Number | 1073396487 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073396487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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