| Excellent Behavioral Health Llc | |
|
10926 S 56th Ln Laveen AZ 85339-5708 | |
| (732) 322-1807 | |
| Not Available |
| Full Name | Excellent Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10926 S 56th Ln, Laveen, Arizona |
| Authorized Official Name and Position | Joseph Kimanl (OWNER) |
| Authorized Official Contact | 7323221807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Behavioral Health Llc 10926 S 56th Ln Laveen AZ 85339-5708 Ph: () - | Excellent Behavioral Health Llc 10926 S 56th Ln Laveen AZ 85339-5708 Ph: (732) 322-1807 |
| NPI Number | 1902503097 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902503097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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