| Baart Programs Chandler | |
|
908 W Chandler Blvd # B Suite 4 Chandler AZ 85225-2548 | |
| (480) 899-0200 | |
| (480) 899-0202 |
| Full Name | Baart Programs Chandler |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 W Chandler Blvd # B, Chandler, Arizona |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baart Programs Chandler 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3300 | Baart Programs Chandler 908 W Chandler Blvd # B Suite 4 Chandler AZ 85225-2548 Ph: (480) 899-0200 |
| NPI Number | 1649449836 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1153456306 |
|---|---|
| Medicare Enrollment ID | O20130814000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649449836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | BH2988 (Arizona) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
| Provider Name | Martin J Gruenberg |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1326139247 PECOS PAC ID: 7113975988 Enrollment ID: I20081126000327 |
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