| Eligibility And Evaluations Department | |
|
4129 E Van Buren St Ste 150 Phoenix AZ 85008-6939 | |
| (602) 273-2300 | |
| Not Available |
| Full Name | Eligibility And Evaluations Department |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4129 E Van Buren St Ste 150, Phoenix, Arizona |
| Authorized Official Name and Position | Chris Adam Carson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6027978333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eligibility And Evaluations Department 4129 E Van Buren St Ste 150 Phoenix AZ 85008-6939 Ph: (602) 273-2300 | Eligibility And Evaluations Department 4129 E Van Buren St Ste 150 Phoenix AZ 85008-6939 Ph: (602) 273-2300 |
| NPI Number | 1255594529 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255594529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Primary |
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