| Thwajik Ke Outpatient Behavioral Health Services | |
|
3850 N. 16th Street Suite #500 Laveen AZ 85339 | |
| (520) 796-3860 | |
| (520) 796-3801 |
| Full Name | Thwajik Ke Outpatient Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3850 N. 16th Street Suite #500, Laveen, Arizona |
| Authorized Official Name and Position | Scott Gemberling (CEO) |
| Authorized Official Contact | 6025281200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thwajik Ke Outpatient Behavioral Health Services 17242 S. Health Care Drive Laveen AZ 85339 Ph: () - | Thwajik Ke Outpatient Behavioral Health Services 3850 N. 16th Street Suite #500 Laveen AZ 85339 Ph: (520) 796-3860 |
| NPI Number | 1598021495 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598021495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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