New Casa De Amigas

NPI 1427154368 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1427154368
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH LYLE KENNETH
Position EXECUTIVE DIRECTOR
Phone (602) 265-9987
Fax (602) 265-9983
Practice Location
1648 W COLTER ST # 8
PHOENIX AZ, 85015-3022, US
Phone (602) 265-9987
Fax (602) 265-9983
Business Location
1648 W COLTER ST # 8
PHOENIX AZ, 85015-3022, US
Phone (602) 265-9987
Fax (602) 265-9983
Toxanomy
Taxonomy Code 324500000X
License State Arizona
License Number BH 1611
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According to our database, New Casa De Amigas NPI is 1427154368, taxonomy code is 324500000X and license number is BH 1611, license state is located at Arizona. New Casa De Amigas physically located at 1648 W Colter St # 8, Phoenix AZ, 85015-3022. NPI Number 1033115704 has the healthcare provider type.

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1427154368 NPI number is provided on an as is basis without warranty of any kind. 1427154368 is maintained by the National Plan & Provider Enumeration System. The contents of New Casa De Amigas are for informational purposes only.