| Arizona Mentor | |
|
2700 N 3rd St #4000 Phoenix AZ 85004-1129 | |
| (602) 567-2012 | |
| (602) 567-2062 |
| Full Name | Arizona Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2700 N 3rd St, Phoenix, Arizona |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Mentor 3838 N Central Ave Ste 1200 Phoenix AZ 85012-1997 Ph: (480) 646-6175 | Arizona Mentor 2700 N 3rd St #4000 Phoenix AZ 85004-1129 Ph: (602) 567-2012 |
| NPI Number | 1114152394 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 05/14/2023 |
| Certification Date | 05/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114152394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA09ADHS0181 (Arizona) | Primary |
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