| Graceful Treatment Center Llc | |
|
6426 W Lariat Ln Phoenix AZ 85083-1010 | |
| (725) 207-9958 | |
| Not Available |
| Full Name | Graceful Treatment Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6426 W Lariat Ln, Phoenix, Arizona |
| Authorized Official Name and Position | Cyndi Patterson (OWNER) |
| Authorized Official Contact | 7252079958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Treatment Center Llc 6426 W Lariat Ln Phoenix AZ 85083-1010 Ph: (725) 207-9958 | Graceful Treatment Center Llc 6426 W Lariat Ln Phoenix AZ 85083-1010 Ph: (725) 207-9958 |
| NPI Number | 1104552371 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104552371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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