| Rite Of Passage Inc | |
|
20275 E Rittenhouse Rd Ste 105 Queen Creek AZ 85142-1661 | |
| (480) 987-2053 | |
| Not Available |
| Full Name | Rite Of Passage Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 20275 E Rittenhouse Rd Ste 105, Queen Creek, Arizona |
| Authorized Official Name and Position | Nancey E. Carter (BEHAV HEALTH COMPLIANCE DIRECTOR) |
| Authorized Official Contact | 4809872053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rite Of Passage Inc 20275 E Rittenhouse Rd Ste 105 Queen Creek AZ 85142-1661 Ph: (480) 987-2053 | Rite Of Passage Inc 20275 E Rittenhouse Rd Ste 105 Queen Creek AZ 85142-1661 Ph: (480) 987-2053 |
| NPI Number | 1598394850 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598394850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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