| Pillars Of Life Llc | |
|
1515 E Florence Blvd Ste 101 Casa Grande AZ 85122-5334 | |
| (520) 414-3022 | |
| Not Available |
| Full Name | Pillars Of Life Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1515 E Florence Blvd Ste 101, Casa Grande, Arizona |
| Authorized Official Name and Position | Genasha Cotton (ADMINISTRATOR) |
| Authorized Official Contact | 5204143022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pillars Of Life Llc 43477 W Kramer Ln Maricopa AZ 85138-8933 Ph: (520) 483-4895 | Pillars Of Life Llc 1515 E Florence Blvd Ste 101 Casa Grande AZ 85122-5334 Ph: (520) 414-3022 |
| NPI Number | 1912679291 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912679291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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