Chrysalis Shelter For Victims Of Domestic Violence Inc

NPI 1033263694 - Point of Service - 305S00000X

NPI Details
NPI 1033263694
Enumeration Date 01/22/2007
Last Updated 11/21/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PATRICIA PATRICIA
Position EXECUTIVE DIRECTOR
Phone (602) 955-9059
Fax (602) 955-0165
Practice Location
2055 WEST NORTHERN AVENUE
PHOENIX AZ, 85021-5157, US
Phone (602) 955-9059
Fax (602) 955-0165
Business Location
2055 WEST NORTHERN AVENUE
PHOENIX AZ, 85021-5157, US
Phone (602) 955-9059
Fax (602) 955-0165
Toxanomy
Taxonomy Code 305S00000X
License State Arizona
License Number BH4093
Remove 1033263694 NPI Number
 

According to our database, Chrysalis Shelter For Victims Of Domestic Violence Inc NPI is 1033263694, taxonomy code is 305S00000X and license number is BH4093, license state is located at Arizona. Chrysalis Shelter For Victims Of Domestic Violence Inc physically located at 2055 West Northern Avenue, Phoenix AZ, 85021-5157. NPI Number 1033115704 has the healthcare provider type.

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1033263694 NPI number is provided on an as is basis without warranty of any kind. 1033263694 is maintained by the National Plan & Provider Enumeration System. The contents of Chrysalis Shelter For Victims Of Domestic Violence Inc are for informational purposes only.