| Upc Inpatient Unit 1, Suite 150e | |
|
1201 S 7th Ave Ste 150e Phoenix AZ 85007-4075 | |
| (602) 416-7600 | |
| (866) 882-5456 |
| Full Name | Upc Inpatient Unit 1, Suite 150e |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1201 S 7th Ave Ste 150e, Phoenix, Arizona |
| Authorized Official Name and Position | Cheryl Boyle (PROVIDER NETWORK MANAGEMENT ASSSOC.) |
| Authorized Official Contact | 7376006039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upc Inpatient Unit 1, Suite 150e 2390 E Camelback Rd Ste 400 Phoenix AZ 85016-3479 Ph: (602) 253-5100 | Upc Inpatient Unit 1, Suite 150e 1201 S 7th Ave Ste 150e Phoenix AZ 85007-4075 Ph: (602) 416-7600 |
| NPI Number | 1144602715 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144602715 | NPI | - | NPPES |
| 156806 | Medicaid | AZ | |
| IFBH9275 | Other | AZ | AZDH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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