| Foundation For Healing, Llc | |
|
7148 N Sunrise Vis Prescott Valley AZ 86315-3039 | |
| (828) 333-3485 | |
| Not Available |
| Full Name | Foundation For Healing, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7148 N Sunrise Vis, Prescott Valley, Arizona |
| Authorized Official Name and Position | Deborah M. Johansen (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8283333485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation For Healing, Llc 3298 N Glassford Hill Rd Ste 104-220 Prescott Valley AZ 86314-1294 Ph: (828) 333-3485 | Foundation For Healing, Llc 7148 N Sunrise Vis Prescott Valley AZ 86315-3039 Ph: (828) 333-3485 |
| NPI Number | 1205325198 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205325198 | NPI | - | NPPES |
| 273868 | Medicaid | AZ | |
| 1417409483 | Other | AZ | NPI |
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