Organization · NPI-2

8632 Bh Ebg LLC

Community/Behavioral Health · Peoria, AZ

NPI number1437848827
StatusActive
Last updated in NPPESMay 2, 2023

Details

NPI
1437848827
Entity type
Organization (NPI-2)
Legal business name
8632 Bh Ebg LLC
Organization subpart
No
Enumeration date
May 2, 2023
Certification date
May 2, 2023
Last updated
May 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Other names

  • Enchanted Wellbriety (Doing Business As)

Practice location

8632 W Via Montoya Dr
Peoria, AZ 85383-2050

Phone 718-926-5415

Mailing address

8632 W Via Montoya Dr
Peoria, AZ 85383-2050

Phone 718-926-5415

Authorized official

Avraham Majer
Manager
7189265415

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