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Case Manager/Care Coordinator in Phoenix, AZ. Organization (NPI-2).

NPI number1770169989
StatusActive
Last updated in NPPESMar 19, 2021

Details

NPI
1770169989
Entity type
Organization (NPI-2)
Legal business name
Back To Dignity
Organization subpart
No
Enumeration date
Mar 19, 2021
Certification date
Mar 19, 2021
Last updated
Mar 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

12615 N Cave Creek Rd
Phoenix, AZ 85022-5832

Phone 702-235-5650

Mailing address

12615 N Cave Creek Rd
Phoenix, AZ 85022-5832

Phone 702-235-5650

Authorized official

Taras L Collum
Owner
7022355650

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