| Repairing The Bridge | |
|
20740 N Madison Dr Maricopa AZ 85138-8437 | |
| (520) 701-4575 | |
| Not Available |
| Full Name | Repairing The Bridge |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 20740 N Madison Dr, Maricopa, Arizona |
| Authorized Official Name and Position | Sheila Reed (OWNER/THERAPIST) |
| Authorized Official Contact | 5207014575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Repairing The Bridge 20740 N Madison Dr Maricopa AZ 85138-8437 Ph: (520) 701-4575 | Repairing The Bridge 20740 N Madison Dr Maricopa AZ 85138-8437 Ph: (520) 701-4575 |
| NPI Number | 1386471605 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386471605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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