| The Irie Place Llc | |
|
10142 W Watkins St Tolleson AZ 85353-1289 | |
| (773) 627-1792 | |
| Not Available |
| Full Name | The Irie Place Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10142 W Watkins St, Tolleson, Arizona |
| Authorized Official Name and Position | Tiffany Kennedy (OWNER) |
| Authorized Official Contact | 7736271792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Irie Place Llc 10142 W Watkins St Tolleson AZ 85353-1289 Ph: () - | The Irie Place Llc 10142 W Watkins St Tolleson AZ 85353-1289 Ph: (773) 627-1792 |
| NPI Number | 1235605775 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235605775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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