| Shalom Behavioral Health, Llc | |
|
4449 W Keating Cir Glendale AZ 85308-3549 | |
| (602) 781-7025 | |
| Not Available |
| Full Name | Shalom Behavioral Health, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4449 W Keating Cir, Glendale, Arizona |
| Authorized Official Name and Position | James Thomal Harris (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 6027990030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Behavioral Health, Llc 4449 W Keating Cir Glendale AZ 85308-3549 Ph: (602) 781-7025 | Shalom Behavioral Health, Llc 4449 W Keating Cir Glendale AZ 85308-3549 Ph: (602) 781-7025 |
| NPI Number | 1619502192 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619502192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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