| Trillium Integrated Healthcare | |
|
3620 N 3rd St Phoenix AZ 85012-2020 | |
| (602) 230-7373 | |
| (602) 230-5102 |
| Full Name | Trillium Integrated Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3620 N 3rd St, Phoenix, Arizona |
| Authorized Official Name and Position | Benjamin Kuhn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6022307373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trillium Integrated Healthcare 2701 E Camelback Rd #155 Phoenix AZ 85016-4309 Ph: (602) 230-7373 | Trillium Integrated Healthcare 3620 N 3rd St Phoenix AZ 85012-2020 Ph: (602) 230-7373 |
| NPI Number | 1316284714 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 04/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316284714 | NPI | - | NPPES |
| 709972 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-4082 (Arizona) | Primary |
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