Grace Behavioral Health
Ambulance, Land Transport in Phoenix, AZ. Organization (NPI-2).
NPI number1144352121
StatusActive
Last updated in NPPESSep 3, 2010
Details
- NPI
- 1144352121
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Behavioral Health
- Organization subpart
- No
- Enumeration date
- Mar 12, 2007
- Last updated
- Sep 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416L0300X | Ambulance, Land Transport | – | – | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | – | AZ |
Practice location
2336 E Magnolia StPhoenix, AZ 85034-6819
Phone 602-231-0102
Mailing address
2336 E Magnolia StPhoenix, AZ 85034-6819
Phone 602-231-0102
Authorized official
Jill Gillespie
Chief Financial Officer
6022310102
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