New Exodos
Community/Behavioral Health in Phoenix, AZ. Organization (NPI-2).
NPI number1114352192
StatusActive
Last updated in NPPESSep 9, 2013
Details
- NPI
- 1114352192
- Entity type
- Organization (NPI-2)
- Legal business name
- New Exodos
- Organization subpart
- No
- Enumeration date
- Sep 9, 2013
- Last updated
- Sep 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
5320 N 16th St204
Phoenix, AZ 85016-3220
Phone 602-368-8966
Mailing address
5320 N 16th St204
Phoenix, AZ 85016-3220
Phone 602-368-8966
Authorized official
Phil Mc Ilveen
Program Director
6023688966
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All 755 Community/Behavioral Health Agency providers in Phoenix · All 44,202 providers in Phoenix
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