| Graham House Llc | |
|
110 W 5th St Safford AZ 85546-2322 | |
| (702) 355-2695 | |
| Not Available |
| Full Name | Graham House Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 W 5th St, Safford, Arizona |
| Authorized Official Name and Position | James Demasi (OWNER) |
| Authorized Official Contact | 7023552695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graham House Llc 5223 N 24th St Apt 204 Phoenix AZ 85016-3526 Ph: (702) 355-2695 | Graham House Llc 110 W 5th St Safford AZ 85546-2322 Ph: (702) 355-2695 |
| NPI Number | 1760067532 |
|---|---|
| Provider Enumeration Date | 03/13/2021 |
| Last Update Date | 03/13/2021 |
| Certification Date | 03/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760067532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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