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Organization
ADVANCED BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization
ADVANCED BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY RAY DIQUARTO BA (PROGRAM ADMINISTRATOR)
(775) 233-5082
Entity
Organization
Contact information
Practice address
9417 N 17TH PL, PHOENIX, AZ 85020-2310
(520) 661-2594
Mailing address
9417 N 17TH PL, PHOENIX, AZ 85020-2310
(520) 661-2594
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2018
Last updated
06/17/2018
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