Organization · NPI-2

A & D Adult And Youth Center LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Phoenix, AZ

NPI number1760063770
StatusActive
Last updated in NPPESSep 18, 2021

Details

NPI
1760063770
Entity type
Organization (NPI-2)
Legal business name
A & D Adult And Youth Center LLC
Organization subpart
No
Enumeration date
Apr 20, 2021
Certification date
Sep 18, 2021
Last updated
Sep 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1002 E Mcdowell Rd Ste 103
Phoenix, AZ 85006-2624

Phone 602-314-4218 · Fax 602-354-5842

Mailing address

1002 E Mcdowell Rd Ste 103
Phoenix, AZ 85006-2624

Phone 602-314-4218 · Fax 602-354-5842

Authorized official

Marcus Brown
Owner
6028771122

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Phoenix, AZ