| Desert Wellcare Behavioral Center Llc | |
|
3320 W Cheryl Dr Ste B225 Phoenix AZ 85051-9579 | |
| (413) 627-6008 | |
| Not Available |
| Full Name | Desert Wellcare Behavioral Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3320 W Cheryl Dr Ste B225, Phoenix, Arizona |
| Authorized Official Name and Position | Dorcas Antwi (DIRECTOR) |
| Authorized Official Contact | 4136276008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Wellcare Behavioral Center Llc 3320 W Cheryl Dr Ste B225 Phoenix AZ 85051-9579 Ph: (413) 627-6008 | Desert Wellcare Behavioral Center Llc 3320 W Cheryl Dr Ste B225 Phoenix AZ 85051-9579 Ph: (413) 627-6008 |
| NPI Number | 1881390326 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881390326 | NPI | - | NPPES |
| OTC12240 | Other | AZ | AZDHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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