| Zarephath Inc. | |
|
4856 E Baseline Rd Ste 103 Mesa AZ 85206-4635 | |
| (480) 518-6826 | |
| (480) 361-9144 |
| Full Name | Zarephath Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4856 E Baseline Rd Ste 103, Mesa, Arizona |
| Authorized Official Name and Position | Moshe Lobl (CEO) |
| Authorized Official Contact | 4805186826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zarephath Inc. 4856 E. Baseline Road Suite 104 Mesa AZ 85206-4635 Ph: (480) 518-6826 | Zarephath Inc. 4856 E Baseline Rd Ste 103 Mesa AZ 85206-4635 Ph: (480) 518-6826 |
| NPI Number | 1730439167 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730439167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-4060 (Arizona) | Primary |
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