| Phc Az Llc | |
|
9318 N 95th Way Ste A-205 Scottsdale AZ 85258-5537 | |
| (480) 299-7442 | |
| Not Available |
| Full Name | Phc Az Llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 9318 N 95th Way Ste A-205, Scottsdale, Arizona |
| Authorized Official Name and Position | John Grako (OWNER) |
| Authorized Official Contact | 4802997442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phc Az Llc 9318 N 95th Way Ste A-205 Scottsdale AZ 85258-5537 Ph: (480) 299-7442 | Phc Az Llc 9318 N 95th Way Ste A-205 Scottsdale AZ 85258-5537 Ph: (480) 299-7442 |
| NPI Number | 1356813091 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356813091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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