| Destiny Springs Healthcare, Llc | |
|
17300 N Dysart Rd Surprise AZ 85378-4501 | |
| (160) 271-4332 | |
| Not Available |
| Full Name | Destiny Springs Healthcare, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17300 N Dysart Rd, Surprise, Arizona |
| Authorized Official Name and Position | Donna Noriega (CEO) |
| Authorized Official Contact | 6232333000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Springs Healthcare, Llc 17300 N Dysart Rd Surprise AZ 85378-4501 Ph: (160) 271-4332 | Destiny Springs Healthcare, Llc 17300 N Dysart Rd Surprise AZ 85378-4501 Ph: (160) 271-4332 |
| NPI Number | 1114511037 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 02/22/2021 |
| Certification Date | 02/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114511037 | NPI | - | NPPES |
| 546229 | Medicaid | AZ |
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