| Aspiring Anew Generation Clinic Llc | |
|
2701 E Thomas Rd Ste K Phoenix AZ 85016-8218 | |
| (480) 382-2444 | |
| (602) 314-5813 |
| Full Name | Aspiring Anew Generation Clinic Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2701 E Thomas Rd Ste K, Phoenix, Arizona |
| Authorized Official Name and Position | Jessica Stanford (CEO) |
| Authorized Official Contact | 6025818860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspiring Anew Generation Clinic Llc 4478 S Marion Pl Chandler AZ 85249-4791 Ph: (602) 570-5633 | Aspiring Anew Generation Clinic Llc 2701 E Thomas Rd Ste K Phoenix AZ 85016-8218 Ph: (480) 382-2444 |
| NPI Number | 1760198329 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 6103286547 |
|---|---|
| Medicare Enrollment ID | O20230718001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760198329 | NPI | - | NPPES |
| Provider Name | David Earl Linden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821062324 PECOS PAC ID: 1052228822 Enrollment ID: I20230825000355 |
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