Lifewell Behavioral Wellness
Community/Behavioral Health in Phoenix, AZ. Organization (NPI-2).
NPI number1982191284
StatusActive
Last updated in NPPESMay 28, 2021
Details
- NPI
- 1982191284
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifewell Behavioral Wellness
- Organization subpart
- No
- Enumeration date
- Apr 23, 2018
- Certification date
- May 28, 2021
- Last updated
- May 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Lifewell Behavioral Wellness - Royal Palms (Doing Business As)
Practice location
10844 N 23rd Ave Ste 200Phoenix, AZ 85029-4947
Phone 602-353-2340 · Fax 602-353-2400
Mailing address
202 E Earll Dr Ste 200Phoenix, AZ 85012-2647
Phone 602-599-5434 · Fax 602-599-5734
Authorized official
Doris Vaught
President And Ceo
6025995420
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