| Pacific Mental Health Arizona Llc | |
|
101 N 1st Ave Ste 800 Phoenix AZ 85003-1902 | |
| (425) 582-2041 | |
| Not Available |
| Full Name | Pacific Mental Health Arizona Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 N 1st Ave Ste 800, Phoenix, Arizona |
| Authorized Official Name and Position | Jeffery J Goff (OWNER) |
| Authorized Official Contact | 4255822041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Mental Health Arizona Llc 5108 196th St Sw Ste 310 Lynnwood WA 98036-6152 Ph: (425) 697-3674 | Pacific Mental Health Arizona Llc 101 N 1st Ave Ste 800 Phoenix AZ 85003-1902 Ph: (425) 582-2041 |
| NPI Number | 1467144782 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467144782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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