Organization · NPI-2

Authentigo Health

Social Worker, Clinical · Gilbert, AZ

NPI number1558024943
StatusActive
Last updated in NPPESOct 21, 2021

Details

NPI
1558024943
Entity type
Organization (NPI-2)
Legal business name
Authentigo Health
Organization subpart
No
Enumeration date
Oct 21, 2021
Certification date
Oct 21, 2021
Last updated
Oct 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Other names

  • Authentigo Health (Former Legal Business Name)

Practice location

1166 E Warner Rd Ste 101
Gilbert, AZ 85296-3065

Phone 480-980-6330 · Fax 480-485-1666

Mailing address

1166 E Warner Rd Ste 101
Gilbert, AZ 85296-3065

Phone 480-980-6330

Authorized official

Diane R Stricker
Principle
4809806330

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