| Wisemind Sober Living And Treatment, Llc | |
|
6234 W Behrend Dr Apt 3105 Glendale AZ 85308-6919 | |
| (480) 665-5311 | |
| Not Available |
| Full Name | Wisemind Sober Living And Treatment, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6234 W Behrend Dr Apt 3105, Glendale, Arizona |
| Authorized Official Name and Position | James Daniel Mccreary (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5632657211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisemind Sober Living And Treatment, Llc 5755 W Irma Ln Glendale AZ 85308-9178 Ph: (563) 265-7211 | Wisemind Sober Living And Treatment, Llc 6234 W Behrend Dr Apt 3105 Glendale AZ 85308-6919 Ph: (480) 665-5311 |
| NPI Number | 1609483825 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 11/10/2020 |
| Certification Date | 11/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609483825 | NPI | - | NPPES |
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