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4700 S Mill Ave Ste 5 Tempe AZ 85282-6736 | |
| (614) 705-3044 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4700 S Mill Ave Ste 5, Tempe, Arizona |
| Authorized Official Name and Position | Benjamin Meyer (OWNER) |
| Authorized Official Contact | 6025677895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
675 S Roosevelt St Ste 3005 Tempe AZ 85281-3697 Ph: (602) 567-7895 | 4700 S Mill Ave Ste 5 Tempe AZ 85282-6736 Ph: (614) 705-3044 |
| NPI Number | 1346904364 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346904364 | NPI | - | NPPES |
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