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3322 South Ellsworth Rd Mesa AZ 85212 | |
| (623) 254-7220 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 3322 South Ellsworth Rd, Mesa, Arizona |
| Authorized Official Name and Position | Brian P. Farley (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | 3322 South Ellsworth Rd Mesa AZ 85212 Ph: (623) 254-7220 |
| NPI Number | 1013789668 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 01/03/2025 |
| Certification Date | 01/03/2025 |
| Medicare PECOS PAC ID | 7315383957 |
|---|---|
| Medicare Enrollment ID | O20240306001539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013789668 | NPI | - | NPPES |
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