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2600 E Southern Ave Ste E1 Tempe AZ 85282-7744 | |
| (480) 542-4668 | |
| (877) 559-2816 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2600 E Southern Ave Ste E1, Tempe, Arizona |
| Authorized Official Name and Position | Chad Smith (CEO) |
| Authorized Official Contact | 8335104357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4600 Montgomery Rd Ste 400 Cincinnati OH 45212-2600 Ph: (833) 510-4357 | 2600 E Southern Ave Ste E1 Tempe AZ 85282-7744 Ph: (480) 542-4668 |
| NPI Number | 1730553108 |
|---|---|
| Provider Enumeration Date | 11/21/2015 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730553108 | NPI | - | NPPES |
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