Tempe Outpatient Treatment Center LLC
Clinic/Center, Multi-Specialty in Tempe, AZ. Organization (NPI-2).
NPI number1982142873
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1982142873
- Entity type
- Organization (NPI-2)
- Legal business name
- Tempe Outpatient Treatment Center LLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2017
- Last updated
- Feb 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
1001 E Warner Rd Ste 103Tempe, AZ 85284
Phone 480-897-3300
Mailing address
1001 E Warner Rd Ste 103Tempe, AZ 85284
Authorized official
Jeremy Buckner
Mbr
4808973300
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