| Agnes' Centers For Domestic Solutions | |
|
455 S 48th Street 106 Tempe AZ 85281 | |
| (480) 664-6554 | |
| Not Available |
| Full Name | Agnes' Centers For Domestic Solutions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 455 S 48th Street, Tempe, Arizona |
| Authorized Official Name and Position | Grace Agnes Crockett-scott (DIRECTOR) |
| Authorized Official Contact | 4806646554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnes' Centers For Domestic Solutions 455 S 48th Street 106 Tempe AZ 85281 Ph: (480) 664-6554 | Agnes' Centers For Domestic Solutions 455 S 48th Street 106 Tempe AZ 85281 Ph: (480) 664-6554 |
| NPI Number | 1609376698 |
|---|---|
| Provider Enumeration Date | 02/15/2018 |
| Last Update Date | 02/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609376698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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