Organization · NPI-2

Abra Health LLC

Day Training, Developmentally Disabled Services · Glendale, AZ

NPI number1114581386
StatusActive
Last updated in NPPESAug 14, 2020

Details

NPI
1114581386
Entity type
Organization (NPI-2)
Legal business name
Abra Health LLC
Organization subpart
No
Enumeration date
Apr 23, 2019
Certification date
Aug 14, 2020
Last updated
Aug 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
251B00000X Case Management––
251E00000X Home Health––
251K00000X Public Health or Welfare––
253Z00000X In Home Supportive Care––
261QA0600X Clinic/Center, Adult Day Care––
261QC1500X Clinic/Center, Community Health––
261QD1600X Clinic/Center, Developmental Disabilities––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM0850X Clinic/Center, Adult Mental Health––
261QM0855X Clinic/Center, Adolescent and Children Mental Health––
261QP2300X Clinic/Center, Primary Care––
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Practice location

8636 N 59th Ave
Glendale, AZ 85302-5404

Phone 602-518-0214

Mailing address

7214 W Reade Ave
Glendale, AZ 85303-6124

Phone 602-518-0214

Other practice locations

2202 W Mcdowell Rd
Phoenix, AZ 85009-3009

Phone 602-518-0214

1401 E Jefferson St
Phoenix, AZ 85034-2315

Phone 602-492-1875

Authorized official

Da'Mond Gadson
Owner
6025180214

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