# KIDSCOPE LLC

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

## Provider details

- **NPI number:** 1730432188
- **Authorized official:** MS. PAMELA S DAVIS (CEO/MANAGING MEMBER)
- **Authorized official phone:** (602) 614-9197

## Contact information

- **Practice address:** 13055 W MCDOWELL RD, SUITE G-112, AVONDALE, AZ 85392-6449
- **Practice address phone:** (602) 792-5021
- **Practice address fax:** (602) 792-5262
- **Mailing address:** 13055 W MCDOWELL RD, SUITE G-112, AVONDALE, AZ 85392-6449
- **Mailing address phone:** (623) 792-5021
- **Mailing address fax:** (623) 792-5262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | AZ | Yes |

## Other

- **Enumeration date:** 10/23/2012
- **Last updated:** 10/23/2012