| Dream Chaser Family Services Llc | |
|
2236 W Bethany Home Rd Phoenix AZ 85015-1934 | |
| (602) 774-6776 | |
| Not Available |
| Full Name | Dream Chaser Family Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2236 W Bethany Home Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Kenneth Gilchrist (CEO) |
| Authorized Official Contact | 6027746776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Chaser Family Services Llc 2236 W Bethany Home Rd Phoenix AZ 85015-1934 Ph: (602) 774-6776 | Dream Chaser Family Services Llc 2236 W Bethany Home Rd Phoenix AZ 85015-1934 Ph: (602) 774-6776 |
| NPI Number | 1134841679 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134841679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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