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Organization
NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA
Active
Organization
NATIONAL COUNCIL ON ALCOHOLISM GREATER PHOENIX AREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KOZIBA (CFO)
(602) 264-6214
Entity
Organization
Contact information
Practice address
4201 N 16TH ST, SUITE 140, PHOENIX, AZ 85016-5347
(602) 264-6214
(602) 265-2102
Mailing address
4201 N 16TH ST, SUITE 140, PHOENIX, AZ 85016-5347
(602) 264-6214
(602) 265-2102
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH1887
AZ
Other
Enumeration date
06/21/2006
Last updated
10/24/2011
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