Organization · NPI-2
1 Family Clinic LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Tempe, AZ
NPI number1023626090
StatusActive
Last updated in NPPESAug 20, 2020
Details
- NPI
- 1023626090
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Family Clinic LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2020
- Certification date
- Aug 20, 2020
- Last updated
- Aug 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
315 W Elliot Rd Ste 107Tempe, AZ 85284-1328
Phone 954-547-2824
Mailing address
315 W Elliot Rd Ste 107Tempe, AZ 85284-1328
Authorized official
Alexis Curry
Owner
9545472824
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