| Family Life Behavioral Health Llc | |
|
6610 N 47th Ave Ste 4 Glendale AZ 85301-4163 | |
| (623) 206-7541 | |
| Not Available |
| Full Name | Family Life Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6610 N 47th Ave Ste 4, Glendale, Arizona |
| Authorized Official Name and Position | Markus A Booker (BILLING) |
| Authorized Official Contact | 6232067541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Behavioral Health Llc 6610 N 47th Ave Ste 4 Glendale AZ 85301-4163 Ph: (623) 206-7541 | Family Life Behavioral Health Llc 6610 N 47th Ave Ste 4 Glendale AZ 85301-4163 Ph: (623) 206-7541 |
| NPI Number | 1043068455 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043068455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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