| Rosewood Ranch, Lp | |
|
950 W Elliot Rd Ste 201 Tempe AZ 85284-1145 | |
| (480) 303-0844 | |
| (480) 303-0848 |
| Full Name | Rosewood Ranch, Lp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 950 W Elliot Rd Ste 201, Tempe, Arizona |
| Authorized Official Name and Position | Edward Moody (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5713343144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosewood Ranch, Lp 6100 Sw 76th St South Miami FL 33143-5002 Ph: (305) 663-1876 | Rosewood Ranch, Lp 950 W Elliot Rd Ste 201 Tempe AZ 85284-1145 Ph: (480) 303-0844 |
| NPI Number | 1790961985 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790961985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-3030 (Arizona) | Primary |
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