# ESSENTIAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306443171
- **Authorized official:** DALE HENSON (MANAGER)
- **Authorized official phone:** (775) 685-0156

## Contact information

- **Practice address:** 2112 E SANOQUE CT, GILBERT, AZ 85298-6117
- **Practice address phone:** (775) 685-0156
- **Mailing address:** 2112 E SANOQUE CT, GILBERT, AZ 85298-6117
- **Mailing address phone:** (775) 685-0156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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