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Organization
INSPIRE LIFE CENTER LLC
Active
Organization
INSPIRE LIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN STARK (SR REVENUE CYCLE MANAGEMENT DIRECTO)
(317) 225-0489
Entity
Organization
Contact information
Practice address
1815 SW MARLOW AVE, PORTLAND, OR 97225-5185
(623) 326-0632
Mailing address
10017 N 57TH DR, GLENDALE, AZ 85302-1328
(623) 326-0632
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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