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Organization
ARIZONA FAMILY TRAUMA CENTER
Active
Organization
ARIZONA FAMILY TRAUMA CENTER
Active
Other names
Arizona Trauma Family Center, Arizona Family Trauma Center, Family Trauma Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN TIMOTHY LONGWORTH (MD)
(480) 318-6688
Entity
Organization
Contact information
Practice address
15901 W WADDELL RD APT 1124, SURPRISE, AZ 85379-0023
(480) 318-6688
Mailing address
15901 W WADDELL RD APT 1124, SURPRISE, AZ 85379-0023
(480) 318-6688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
09/03/2026
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