| Holy Trinity Behavioral, Llc | |
|
4541 N 12th St Phoenix AZ 85014-4203 | |
| (602) 481-3575 | |
| Not Available |
| Full Name | Holy Trinity Behavioral, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4541 N 12th St, Phoenix, Arizona |
| Authorized Official Name and Position | Christine Kemboi (OWNER) |
| Authorized Official Contact | 6232567755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Trinity Behavioral, Llc 8435 W Hughes Dr Tolleson AZ 85353-3902 Ph: (623) 256-7755 | Holy Trinity Behavioral, Llc 4541 N 12th St Phoenix AZ 85014-4203 Ph: (602) 481-3575 |
| NPI Number | 1619595485 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619595485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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