| Family Resources Inc. | |
|
2101 E Broadway Rd Ste. 25 Tempe AZ 85282-1879 | |
| (480) 921-3711 | |
| (480) 921-0307 |
| Full Name | Family Resources Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2101 E Broadway Rd, Tempe, Arizona |
| Authorized Official Name and Position | William Lowell Bradley (DIRECTOR) |
| Authorized Official Contact | 4809213711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Resources Inc. 2101 E Broadway Rd Ste. 25 Tempe AZ 85282-1879 Ph: (480) 921-3711 | Family Resources Inc. 2101 E Broadway Rd Ste. 25 Tempe AZ 85282-1879 Ph: (480) 921-3711 |
| NPI Number | 1699011791 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 3779737333 |
|---|---|
| Medicare Enrollment ID | O20130206000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699011791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | William L Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982698098 PECOS PAC ID: 1759309974 Enrollment ID: I20051107000452 |
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