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Organization
SAMARIA BEHAVIORAL HEALTH CENTER LLC
Active
Organization
SAMARIA BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE A LOUISSAINT (OWNER)
(480) 842-5138
Entity
Organization
Contact information
Practice address
6197 S RURAL RD, TEMPE, AZ 85283-2909
(480) 471-8980
(480) 912-1061
Mailing address
6197 S RURAL RD, TEMPE, AZ 85283-2909
(480) 471-8980
(480) 912-1061
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/19/2024
Last updated
08/25/2024
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