| Great Horizons Llc | |
|
2400 W Dunlap Ave Ste 210 Phoenix AZ 85021-2817 | |
| (775) 379-8810 | |
| Not Available |
| Full Name | Great Horizons Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2400 W Dunlap Ave Ste 210, Phoenix, Arizona |
| Authorized Official Name and Position | Angelo Cooper (OWNER) |
| Authorized Official Contact | 7753798810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Horizons Llc 2400 W Dunlap Ave Ste 210 Phoenix AZ 85021-2817 Ph: (775) 379-8810 | Great Horizons Llc 2400 W Dunlap Ave Ste 210 Phoenix AZ 85021-2817 Ph: (775) 379-8810 |
| NPI Number | 1578258695 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 04/05/2023 |
| Certification Date | 04/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578258695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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