Friendship Community Mental Health Center

NPI 1104825702 - Clinic/Center - 261QM0801X

NPI Details
NPI 1104825702
Enumeration Date 07/18/2005
Last Updated 07/28/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL L MICHAEL
Position SITE ADMINISTRATOR
Phone (602) 241-6656
Fax (602) 241-7506
Practice Location
1035 E. JEFFERSON ST., SUITE B
PHOENIX AZ, 85034, US
Phone (602) 241-6656
Fax (602) 241-7506
Business Location
4520 N CENTRAL AVE., SUITE 580
PHOENIX AZ, 85012, US
Phone (602) 241-6656
Fax (602) 241-7506
Toxanomy
Taxonomy Code 261QM0801X
License State Arizona
License Number BH2465
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According to our database, Friendship Community Mental Health Center NPI is 1104825702, taxonomy code is 261QM0801X and license number is BH2465, license state is located at Arizona. Friendship Community Mental Health Center physically located at 1035 E. Jefferson St., Suite B, Phoenix AZ, 85034. NPI Number 1033115704 has the healthcare provider type.

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1104825702 NPI number is provided on an as is basis without warranty of any kind. 1104825702 is maintained by the National Plan & Provider Enumeration System. The contents of Friendship Community Mental Health Center are for informational purposes only.