Gila River Indian Community Department Of Human Services

NPI 1073755013 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1073755013
Enumeration Date 04/06/2009
Last Updated 04/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GLENN THOMAS GLENN
Position DIRECTOR
Phone (520) 796-3860
Fax (520) 796-3801
Practice Location
3850 N. 16 STREET
LAVEEN AZ, 85339, US
Phone (520) 796-3860
Fax (520) 796-3801
Business Location
PO BOX 602
LAVEEN AZ, 85339-0602, US
Phone (520) 796-3860
Fax (520) 796-3801
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, Gila River Indian Community Department Of Human Services NPI is 1073755013, taxonomy code is 324500000X Gila River Indian Community Department Of Human Services physically located at 3850 N. 16 Street, Laveen AZ, 85339. NPI Number 1033115704 has the healthcare provider type.

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1073755013 NPI number is provided on an as is basis without warranty of any kind. 1073755013 is maintained by the National Plan & Provider Enumeration System. The contents of Gila River Indian Community Department Of Human Services are for informational purposes only.