| Konkrete Rose Youth And Family Services Llc | |
|
3707 E Southern Ave Ste 2054 Mesa AZ 85206-6217 | |
| (602) 552-2381 | |
| Not Available |
| Full Name | Konkrete Rose Youth And Family Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3707 E Southern Ave Ste 2054, Mesa, Arizona |
| Authorized Official Name and Position | Lauryn May (CEO) |
| Authorized Official Contact | 6025522381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Konkrete Rose Youth And Family Services Llc 929 N Val Vista Dr Ste 109-1197 Gilbert AZ 85234-3706 Ph: (602) 552-2381 | Konkrete Rose Youth And Family Services Llc 3707 E Southern Ave Ste 2054 Mesa AZ 85206-6217 Ph: (602) 552-2381 |
| NPI Number | 1306604475 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306604475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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