| Devereux Arizona - Cfs Maricopa | |
|
11024 N 28th Dr #110 Phoenix AZ 85029-4377 | |
| (602) 283-1573 | |
| Not Available |
| Full Name | Devereux Arizona - Cfs Maricopa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11024 N 28th Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Lane Martin-barker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6022831573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux Arizona - Cfs Maricopa 2025 N 3rd St #250 Phoenix AZ 85004-1471 Ph: (480) 889-0566 | Devereux Arizona - Cfs Maricopa 11024 N 28th Dr #110 Phoenix AZ 85029-4377 Ph: (602) 283-1573 |
| NPI Number | 1063873248 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063873248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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