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Organization
ESSENTIAL HEALTH SERVICES, LLC
Active
Organization
ESSENTIAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE HENSON (MANAGER)
(775) 685-0156
Entity
Organization
Contact information
Practice address
2112 E SANOQUE CT, GILBERT, AZ 85298-6117
(775) 685-0156
Mailing address
2112 E SANOQUE CT, GILBERT, AZ 85298-6117
(775) 685-0156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM2800X
Methadone Clinic
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
10/05/2020
Last updated
10/09/2020
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