Organization · NPI-2

Agnes' Centers For Domestic Solutions

Community/Behavioral Health · Tempe, AZ

NPI number1609376698
StatusActive
Last updated in NPPESFeb 15, 2018

Details

NPI
1609376698
Entity type
Organization (NPI-2)
Legal business name
Agnes' Centers For Domestic Solutions
Organization subpart
No
Enumeration date
Feb 15, 2018
Last updated
Feb 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

455 S 48th Street
106
Tempe, AZ 85281

Phone 480-664-6554

Mailing address

455 S 48th Street
106
Tempe, AZ 85281

Phone 480-664-6554

Authorized official

Grace Agnes Crockett-Scott
Director
4806646554

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