Human Development Centre | |
14506 W Granite Valley Dr Ste 108 Sun City West AZ 85375 | |
(623) 214-1141 | |
(623) 214-8903 |
Full Name | Human Development Centre |
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Speciality | Psychiatry & Neurology |
Location | 14506 W Granite Valley Dr, Sun City West, Arizona |
Authorized Official Name and Position | Paul Raymond Butzine (OWNER) |
Authorized Official Contact | 6232141141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Human Development Centre 14506 W Granite Valley Dr Ste 108 Sun City West AZ 85375 Ph: (623) 214-1141 | Human Development Centre 14506 W Granite Valley Dr Ste 108 Sun City West AZ 85375 Ph: (623) 214-1141 |
NPI Number | 1881641215 |
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Provider Enumeration Date | 05/30/2006 |
Last Update Date | 04/21/2015 |
Medicare PECOS PAC ID | 5597742833 |
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Medicare Enrollment ID | O20040702001201 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881641215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Gloria K Manley |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447297718 PECOS PAC ID: 3072604867 Enrollment ID: I20141020000975 |
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