| Kaufman Integrated Healthcare, Llc | |
|
17505 N 79th Ave Suite 315 Glendale AZ 85308-8725 | |
| (602) 820-9398 | |
| Not Available |
| Full Name | Kaufman Integrated Healthcare, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17505 N 79th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Shelley S. Kaufman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6022570560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaufman Integrated Healthcare, Llc 17505 N 79th Ave Suite 315 Glendale AZ 85308-8725 Ph: (602) 820-9398 | Kaufman Integrated Healthcare, Llc 17505 N 79th Ave Suite 315 Glendale AZ 85308-8725 Ph: (602) 820-9398 |
| NPI Number | 1295162626 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 09/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295162626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | BH4321 (Arizona) | Primary |
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