| Tranquility House Llc | |
|
13428 W Acapulco Ln Surprise AZ 85379-6553 | |
| (602) 369-1254 | |
| (623) 337-5076 |
| Full Name | Tranquility House Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13428 W Acapulco Ln, Surprise, Arizona |
| Authorized Official Name and Position | Shaiba Barry (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6023691254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tranquility House Llc 13428 W Acapulco Ln Surprise AZ 85379-6553 Ph: (602) 369-1254 | Tranquility House Llc 13428 W Acapulco Ln Surprise AZ 85379-6553 Ph: (602) 369-1254 |
| NPI Number | 1326398371 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326398371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3984 (Arizona) | Primary |
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