| Nuphase Health Services, Llc | |
|
4225 W Glendale Ave Ste A102 Phoenix AZ 85051-8195 | |
| (717) 747-6522 | |
| Not Available |
| Full Name | Nuphase Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4225 W Glendale Ave Ste A102, Phoenix, Arizona |
| Authorized Official Name and Position | Dana Floyd (CHIEF ORGANIZING OFFICER) |
| Authorized Official Contact | 2029998094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuphase Health Services, Llc 14613 E Desert Vista Trl Scottsdale AZ 85262-7826 Ph: (717) 747-6522 | Nuphase Health Services, Llc 4225 W Glendale Ave Ste A102 Phoenix AZ 85051-8195 Ph: (717) 747-6522 |
| NPI Number | 1184372286 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184372286 | NPI | - | NPPES |
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