| Rock House Az, Llc | |
|
8650 N 35th Ave Ste 110 Phoenix AZ 85051-3835 | |
| (602) 380-4232 | |
| Not Available |
| Full Name | Rock House Az, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8650 N 35th Ave Ste 110, Phoenix, Arizona |
| Authorized Official Name and Position | Samantha White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6023804232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock House Az, Llc 8650 N 35th Ave Ste 110 Phoenix AZ 85051-3835 Ph: (602) 380-4232 | Rock House Az, Llc 8650 N 35th Ave Ste 110 Phoenix AZ 85051-3835 Ph: (602) 380-4232 |
| NPI Number | 1356959126 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Certification Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356959126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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