| Shine Treatment Center Llc | |
|
3295 E Rebel Ln San Tan Valley AZ 85143-1705 | |
| (208) 505-7176 | |
| Not Available |
| Full Name | Shine Treatment Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3295 E Rebel Ln, San Tan Valley, Arizona |
| Authorized Official Name and Position | David Lawlor (CHAIRMAN) |
| Authorized Official Contact | 2085057176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Treatment Center Llc 3295 E Rebel Ln San Tan Valley AZ 85143-1705 Ph: (208) 505-7176 | Shine Treatment Center Llc 3295 E Rebel Ln San Tan Valley AZ 85143-1705 Ph: (208) 505-7176 |
| NPI Number | 1497581508 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/21/2024 |
| Certification Date | 09/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497581508 | NPI | - | NPPES |
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