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1642 S Priest Dr Bldg. 6 Ste. 101 Tempe AZ 85281-6204 | |
| (602) 685-6000 | |
| (480) 731-1066 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1642 S Priest Dr Bldg. 6 Ste. 101, Tempe, Arizona |
| Authorized Official Name and Position | Karen Hoffman Tepper (CEO/PRESIDENT) |
| Authorized Official Contact | 6026856000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3003 N Central Ave Ste 400 Phoenix AZ 85012-2929 Ph: (602) 685-6000 | 1642 S Priest Dr Bldg. 6 Ste. 101 Tempe AZ 85281-6204 Ph: (602) 685-6000 |
| NPI Number | 1972988657 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972988657 | NPI | - | NPPES |
| 223657 | Medicaid | AZ |
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