| Greystone House 2, Llc | |
|
27490 N Higuera Dr Peoria AZ 85383-4859 | |
| (602) 525-5468 | |
| (602) 467-3153 |
| Full Name | Greystone House 2, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 27490 N Higuera Dr, Peoria, Arizona |
| Authorized Official Name and Position | Alex Pescador (OWNER AND ADMINISTRATOR) |
| Authorized Official Contact | 6025255468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greystone House 2, Llc 27490 N Higuera Dr Peoria AZ 85383-4859 Ph: (602) 525-5468 | Greystone House 2, Llc 27490 N Higuera Dr Peoria AZ 85383-4859 Ph: (602) 525-5468 |
| NPI Number | 1013556687 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 12/31/2019 |
| Certification Date | 12/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013556687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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