| Kenor Care Behavioral Health Llc | |
|
148 S 107th Dr Avondale AZ 85323-3307 | |
| (602) 632-5756 | |
| Not Available |
| Full Name | Kenor Care Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 148 S 107th Dr, Avondale, Arizona |
| Authorized Official Name and Position | Anne Jelagat Kenor (ADMINISTRATOR) |
| Authorized Official Contact | 6026325756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenor Care Behavioral Health Llc 148 S 107th Dr Avondale AZ 85323-3307 Ph: (602) 632-5756 | Kenor Care Behavioral Health Llc 148 S 107th Dr Avondale AZ 85323-3307 Ph: (602) 632-5756 |
| NPI Number | 1982349015 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982349015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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