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Organization
SCL COLLEGE OF NURSING
Active
Organization
SCL COLLEGE OF NURSING
Active
Other names
Camelback Kids, St. John's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELANGE NATHAN PH.D. (PRESIDENT)
(480) 215-9056
Entity
Organization
Contact information
Practice address
7308 W GLASS LN, LAVEEN, AZ 85339-7008
(480) 215-9056
Mailing address
14209 W VALLEY VIEW DR, LITCHFIELD PARK, AZ 85340-5053
(480) 215-9056
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
06/15/2026
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