145th Lane

NPI 1083876825 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1083876825
Enumeration Date 07/01/2008
Last Updated 07/01/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELIZABETH ELIZABETH
Position ADMINISTATOR
Phone (602) 441-2691
Fax
Practice Location
15266 N 145TH LN
SURPRISE AZ, 85379-8519, US
Phone (602) 441-2691
Fax
Business Location
15266 N 145TH LN
SURPRISE AZ, 85379-8519, US
Phone (602) 441-2691
Fax
Toxanomy
Taxonomy Code 320800000X
License State Arizona
License Number BH - 3107
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According to our database, 145th Lane NPI is 1083876825, taxonomy code is 320800000X and license number is BH - 3107, license state is located at Arizona. 145th Lane physically located at 15266 N 145th Ln, Surprise AZ, 85379-8519. NPI Number 1033115704 has the healthcare provider type.

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1083876825 NPI number is provided on an as is basis without warranty of any kind. 1083876825 is maintained by the National Plan & Provider Enumeration System. The contents of 145th Lane are for informational purposes only.