Arizona Alternative Support Center LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Chandler, AZ. Organization (NPI-2).
NPI number1245944032
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1245944032
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Alternative Support Center LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2023
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
793 N Alma School RdChandler, AZ 85224-3681
Phone 774-253-7365
Mailing address
793 N Alma School RdChandler, AZ 85224-3681
Authorized official
Irene Mulondo
Owner
7742537365
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