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916 E Watson Dr Tempe AZ 85283-3031 | |
| (602) 285-0505 | |
| (602) 285-1838 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 916 E Watson Dr, Tempe, Arizona |
| Authorized Official Name and Position | Annette Iniguez (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 6022850505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1201 E Thomas Rd Phoenix AZ 85014-5734 Ph: (602) 285-0505 | 916 E Watson Dr Tempe AZ 85283-3031 Ph: (602) 285-0505 |
| NPI Number | 1922338227 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922338227 | NPI | - | NPPES |
| BHS3482 | Other | AZ | ADHS - BEHAVIORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BHS3482 (Arizona) | Primary |
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