Propel Treatment Center Llc | |
6202 S 16th St Ste 195 Phoenix AZ 85042-4434 | |
(602) 516-4473 | |
Not Available |
Full Name | Propel Treatment Center Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6202 S 16th St Ste 195, Phoenix, Arizona |
Authorized Official Name and Position | Habtom H Hadish (MANAGER) |
Authorized Official Contact | 6025164473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Propel Treatment Center Llc 9439 W Virginia Ave Phoenix AZ 85037-4433 Ph: (602) 516-4473 | Propel Treatment Center Llc 6202 S 16th St Ste 195 Phoenix AZ 85042-4434 Ph: (602) 516-4473 |
NPI Number | 1619662962 |
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Provider Enumeration Date | 04/11/2023 |
Last Update Date | 04/11/2023 |
Certification Date | 04/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619662962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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