Elevate Peer Support, LLC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Tempe, AZ. Organization (NPI-2).
NPI number1861997207
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1861997207
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Peer Support, LLC.
- Organization subpart
- No
- Enumeration date
- Mar 28, 2018
- Certification date
- Dec 29, 2021
- Last updated
- Dec 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2600 E Southern Ave Ste D1Tempe, AZ 85282-7747
Phone 480-550-1201
Mailing address
2600 E Southern Ave Ste D1Tempe, AZ 85282-7747
Authorized official
Alexis Benson
Cfo
4805501201
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