| Esrd Behavioral Health, Llc | |
|
14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 | |
| (623) 374-7774 | |
| (855) 420-6361 |
| Full Name | Esrd Behavioral Health, Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 14780 W Mountain View Blvd Ste 110, Surprise, Arizona |
| Authorized Official Name and Position | Linh Nguyen (CEO) |
| Authorized Official Contact | 6233747774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esrd Behavioral Health, Llc 14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 Ph: (623) 374-7774 | Esrd Behavioral Health, Llc 14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 Ph: (623) 374-7774 |
| NPI Number | 1306322391 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306322391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35198 (Arizona) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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