| Esrd Behavioral Health, Llc | |
|
14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 | |
| (623) 374-7774 | |
| Not Available |
| 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 C 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 | 1316424633 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 01/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316424633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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