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Organization
REBIRTH CENTER
Active
Organization
REBIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JONES BHT (ADM)
(602) 731-5188
Entity
Organization
Contact information
Practice address
5008 W GLENDALE AVE STE 110, GLENDALE, AZ 85301-2751
(602) 731-5188
Mailing address
9023 W HUBBELL ST, PHOENIX, AZ 85037-3882
(602) 731-5188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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