| Antonelli Family Limited Partnership | |
|
12417 W Surrey Ave El Mirage AZ 85335-7246 | |
| (602) 486-7933 | |
| Not Available |
| Full Name | Antonelli Family Limited Partnership |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12417 W Surrey Ave, El Mirage, Arizona |
| Authorized Official Name and Position | Tania Michael Antonelli (DIRECTOR) |
| Authorized Official Contact | 6024867933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonelli Family Limited Partnership 12417 W Surrey Ave El Mirage AZ 85335-7246 Ph: (602) 486-7933 | Antonelli Family Limited Partnership 12417 W Surrey Ave El Mirage AZ 85335-7246 Ph: (602) 486-7933 |
| NPI Number | 1598313074 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598313074 | NPI | - | NPPES |
| 08251023 | Other | AZ | INTERPRETING SERVICES/BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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