| Global Family Llc | |
|
4523 N 92nd Ave Phoenix AZ 85037-2450 | |
| (701) 219-5521 | |
| Not Available |
| Full Name | Global Family Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 4523 N 92nd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Simon Gubandja (OWNER/ CEO) |
| Authorized Official Contact | 7012195521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Family Llc 4523 N 92nd Ave Phoenix AZ 85037-2450 Ph: (701) 219-5521 | Global Family Llc 4523 N 92nd Ave Phoenix AZ 85037-2450 Ph: (701) 219-5521 |
| NPI Number | 1649885716 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649885716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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