# REDLINE MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720782824
- **Authorized official:** MR. KEITH BROWN (CEO)
- **Authorized official phone:** (310) 428-2576

## Contact information

- **Practice address:** 2200 E WILLIAMS FIELD RD STE 200, GILBERT, AZ 85295-0764
- **Practice address phone:** (310) 428-2576
- **Mailing address:** 1371 S CLAIBORNE AVE, GILBERT, AZ 85296-7810
- **Mailing address phone:** (310) 428-2576
- **Mailing address fax:** (866) 862-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | NULL | — |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | — | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 03/30/2023