| Werise Behavioral Home Llc | |
|
10514 W Hilton Ave Tolleson AZ 85353-5615 | |
| (612) 987-4404 | |
| Not Available |
| Full Name | Werise Behavioral Home Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10514 W Hilton Ave, Tolleson, Arizona |
| Authorized Official Name and Position | Ibrahim Mohamud Hassan (AGENT) |
| Authorized Official Contact | 4803246692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Werise Behavioral Home Llc 1652 N 52nd St Apt 13 Phoenix AZ 85008-3419 Ph: (480) 324-6692 | Werise Behavioral Home Llc 10514 W Hilton Ave Tolleson AZ 85353-5615 Ph: (612) 987-4404 |
| NPI Number | 1134850050 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134850050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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