| Resilient Reentry Agency | |
|
1901 E Apache Blvd Apt 213 Tempe AZ 85281-7511 | |
| (480) 202-0946 | |
| Not Available |
| Full Name | Resilient Reentry Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1901 E Apache Blvd Apt 213, Tempe, Arizona |
| Authorized Official Name and Position | Jennifer M Williams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4802020946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Reentry Agency 1901 E Apache Blvd Apt 213 Tempe AZ 85281-7511 Ph: (480) 202-0946 | Resilient Reentry Agency 1901 E Apache Blvd Apt 213 Tempe AZ 85281-7511 Ph: (480) 202-0946 |
| NPI Number | 1235955733 |
|---|---|
| Provider Enumeration Date | 11/29/2024 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235955733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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