| Tanner Community Development Corporation | |
|
700 E Jefferson St Ste 200 Phoenix AZ 85034-2202 | |
| (602) 253-6904 | |
| (602) 253-2723 |
| Full Name | Tanner Community Development Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 700 E Jefferson St Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Darlene Little (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6022536904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Community Development Corporation 700 E Jefferson St Ste 200 Phoenix AZ 85034-2202 Ph: (602) 253-6904 | Tanner Community Development Corporation 700 E Jefferson St Ste 200 Phoenix AZ 85034-2202 Ph: (602) 253-6904 |
| NPI Number | 1427565977 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427565977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 50216 (Arizona) | Primary |
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