| Enhanced Living Centers, Llc | |
|
2059 W Rains Way San Tan Valley AZ 85142-4512 | |
| (602) 689-8639 | |
| Not Available |
| Full Name | Enhanced Living Centers, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2059 W Rains Way, San Tan Valley, Arizona |
| Authorized Official Name and Position | Victoria Ann Diforte (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6026898639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhanced Living Centers, Llc 2059 W Rains Way San Tan Valley AZ 85142-4512 Ph: (602) 689-8639 | Enhanced Living Centers, Llc 2059 W Rains Way San Tan Valley AZ 85142-4512 Ph: (602) 689-8639 |
| NPI Number | 1891443933 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891443933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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